Victory Mission Center

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

438444 Issued in TX

Legal business name

VICTORY MISSION CENTER

Practice address

6420 Hillcroft St
Suite 303
Houston, TX 77081-3190

Phone

(713) 270-4800

Fax

(713) 789-9619

NPI assigned

Mar 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Veronica Ebie

Title

Administrator

Phone

(713) 270-4800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114041365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-270-4800",
            "fax_number": "713-789-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "SUITE 303",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-270-4800",
            "fax_number": "713-789-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MISSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBIE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-270-4800"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "438444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Houston, TX
• Providers in Houston, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.