Victor Barahona, M.D.
Individual provider Active NPI General Practice Physician · Fabens, TX
NPI 1164515540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164515540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- F7394 (TX)
- Practice address
- 201 W. Main
Suite B
Fabens, TX 79838 - Phone
- (915) 764-4321
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260508000135 | CA | Order and Referring Only - Family Practice |
0244708162 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7394 | TX | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | F7394 | TX | Yes |
Addresses
Primary practice location
201 W. Main
Suite B
Fabens, TX 79838
Mailing address
PO Box 797
Fabens, TX 79838-0797
Phone (915) 764-4321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000F15B8 | Medicaid | TX |
Other providers in Fabens, TX
- El Paso County Hospital District
- El Paso County Hospital District
- El Paso County Hospital District
- Fabens Isd
- Vanessa Gandarilla
All providers in Fabens, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.