Active NPI
Victor Ursua, M.D.
- Orthopaedic Surgery Physician
- Texas City, TX
National Provider Identifier
1184834111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- S0240
- Practice address
- 7111 Medical Center Dr Ste 200
Texas City, TX 77591-2667 - Phone
- (409) 739-6119
- Fax
- (409) 943-4515
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 026506 | LA | |
| Orthopaedic Surgery Physician | 207X00000X | S0240 | TX | Primary |
Addresses
Primary practice location
7111 Medical Center Dr Ste 200
Texas City, TX 77591-2667
Mailing address
PO Box 1768
Texas City, TX 77592-1768
Phone (409) 739-6119
Other practice location 1
2551 Greenwood Rd
Suite 130
Shreveport, LA 71103-3981
Phone (318) 212-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1059927 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1184834111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1768",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775921768",
"telephone_number": "409-739-6119",
"fax_number": "409-943-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 MEDICAL CENTER DR STE 200",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912667",
"telephone_number": "409-739-6119",
"fax_number": "409-943-4515"
}
],
"practiceLocations": [
{
"address_1": "2551 Greenwood Rd",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711033981",
"country_code": "US",
"telephone_number": "318-212-8681",
"fax_number": "318-212-8685",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URSUA",
"first_name": "VICTOR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "026506",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "S0240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1059927",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
- Trinity Pediatrics LLC (Little Stars Pediatric Center)
- Tropical Comfort Stays LLC (CC plus Rider Transportation Services)
- Unique Compassionate Care, LLC
- University of Texas Medical Branch at Galveston
- Urgent Specialty Associates of Texas, PLLC
- Usrc Texas City, LLC (U.S. Renal Care Texas City Dialysis)
- Utmb Regional Maternal and Child Health Program (UTMB RMCHP - Texas City)
- Utmb Regional Maternal and Child Health Program
- Utmb Regional Maternal and Child Health Program
- Charles Edward Vallier, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.