Individual provider Active NPI

Victor Barahona, M.D.

  • General Practice Physician
  • Fabens, TX
National Provider Identifier
1164515540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F7394 Issued in TX
Practice address
201 W. Main
Suite B
Fabens, TX 79838
Phone
(915) 764-4321
NPI assigned
Sep 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F7394 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508000135 CA Order and Referring Only - Family PracticePractitioner - Family Practice 0244708162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F7394TXMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164515540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "FABENS",
            "state": "TX",
            "postal_code": "798380797",
            "telephone_number": "915-764-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W. MAIN",
            "address_2": "SUITE B",
            "city": "FABENS",
            "state": "TX",
            "postal_code": "79838",
            "telephone_number": "915-764-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAHONA",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fabens, TX

Sources for this page

Verify at the official NPI Registry.