Individual provider Active NPI

Victor Ursua, M.D.

  • Orthopaedic Surgery Physician
  • Texas City, TX
National Provider Identifier
1184834111
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
S0240 Issued in TX
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

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1059927MedicaidLA

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

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.

Verify at the official NPI Registry.