Active NPI
Detar Hospital Navarro
- Obstetrics & Gynecology Physician
- Victoria, TX
National Provider Identifier
1396034617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N9014
- Legal business name
- DETAR HOSPITAL NAVARRO
- Practice address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Phone
- (361) 788-6106
- Fax
- (361) 788-6114
- NPI assigned
- Apr 7, 2011
- Last updated
- Apr 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lana Cooley
- Title
- Director, Medical Staff Development
- Phone
- (361) 788-6106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N9014 | TX | Primary |
Addresses
Primary practice location
506 E San Antonio St
Victoria, TX 77901-6060
Mailing address
9111 Lakes at 610 Dr Apt 523
Houston, TX 77054-2413
Phone (832) 640-3103
National Provider Directory
National Provider Directory- Tax ID family
- Detar Healthcare System
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Victoria, TX
- NPI 1366483257
Interoperability endpoints
- https://fhir.yourcareuniverse.net/tenant/2d1b74f6-5e0d-402b-993f-7f7d33147fff
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Victoria, TX
- NPI 1437211422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1396034617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 LAKES AT 610 DR APT 523",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542413",
"telephone_number": "832-640-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E SAN ANTONIO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016060",
"telephone_number": "361-788-6106",
"fax_number": "361-788-6114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETAR HOSPITAL NAVARRO",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "COOLEY",
"authorized_official_first_name": "LANA",
"authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF DEVELOPMENT",
"authorized_official_telephone_number": "361-788-6106",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N9014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
- Michaela Dentler-Munoz, OTR
- Stephen Max Dentler, DO
- Dept of Assistive & Rehab Serv - Victoria Field Office
- Audrey Lynn Despain, SLP
- Detar Hospital
- Devereux Foundation (Devereux Texas Treatment Network)
- George C Dewey, M.D.
- Dewitt Medical District (Victoria Residence and Rehabilitation Center)
- Yogesh C Dhingra, MD
- Diagnostic Foot Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.