Victoria Pain and Rehabilitation Consultant PA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

K3358 Issued in TX

Legal business name

VICTORIA PAIN AND REHABILITATION CONSULTANT PA

Practice address

3388 Sage Rd Unit P5
Houston, TX 77056-7238

Phone

(361) 578-7703

Fax

(361) 578-7719

NPI assigned

Jul 22, 2014

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luci Nguyen, MDNPI 1174662886

Title

Owner

Phone

(361) 578-7703

Specialties & licenses 1

Addresses

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.

• Luci Thao Nguyen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Victoria, TX
  • NPI 1174662886
  Authorized official Same address or phone

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1427465475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 RICHMOND AVE, BOX 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "361-578-7703",
            "fax_number": "361-578-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3388 SAGE RD UNIT P5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567238",
            "telephone_number": "361-578-7703",
            "fax_number": "361-578-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA PAIN AND REHABILITATION CONSULTANT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LUCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-578-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "K3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandhana Fredy Victor, PHYSICIAN ASSISTANT
• Victoria Behavioral Services Clinic LLC
• Victoria Bryant Consulting, LLC
• Victoria Glickman-Pham,O.D.,PLLC (InSight Eyecare)
• Victoria Jefferson (Caring Health Services)
• Victoria Q. Cisneros Dentistry PLLC (Cisneros Family Dentistry)
• Chardai Victorian
• Crystal Victorian
• Melva Victorian
• Tralynn Victorian

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.