NPIMap

Organization Active NPI

Victoria of Texas LP

Doing business as Detar Outpatient Rehab

  • Rehabilitation Clinic/Center
  • Victoria, TX
National Provider Identifier
1184520736
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
VICTORIA OF TEXAS LP
Doing business as
Detar Outpatient Rehab
Practice address
4204 N Laurent St
Victoria, TX 77901-2740
Phone
(361) 572-0052
Fax
(361) 573-0272
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VICTORIA OF TEXAS LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Paula Lalor
Title
Senior Director
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

4204 N Laurent St
Victoria, TX 77901-2740

Mailing address

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 575-7441

Other names 1

  • Detar Outpatient Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robert Simpkins MD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4204 N Laurent St
Victoria, TX 77901
Phone (361) 572-0052

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1184520736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E SAN ANTONIO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016060",
            "telephone_number": "361-575-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012740",
            "telephone_number": "361-572-0052",
            "fax_number": "361-573-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA OF TEXAS LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VICTORIA OF TEXAS LP",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detar Outpatient Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.