Active NPI
Victoria of Texas LP
Doing business as DeTar Senior Care Center
- Emergency Medicine Physician
- Victoria, TX
National Provider Identifier
1619172467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VICTORIA OF TEXAS LP
- Doing business as
- DeTar Senior Care Center
- Practice address
- 605 E San Antonio St
Suite 310E
Victoria, TX 77901-6040 - Phone
- (361) 575-0228
- Fax
- (361) 575-0782
- NPI assigned
- Jun 20, 2007
- Last updated
- Jun 30, 2011
- Organization subpart
- Yes
- Parent organization
- VICTORIA OF TEXAS LP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brewer
- Title
- Director of Provider Enrollment
- Phone
- (877) 892-9813
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
605 E San Antonio St
Suite 310E
Victoria, TX 77901-6040
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Other names 1
- DeTar Senior Care Center
National Provider Directory
National Provider Directory- Part of
- Robert Simpkins MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309392000000",
"number": "1619172467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E SAN ANTONIO ST",
"address_2": "SUITE 310E",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016040",
"telephone_number": "361-575-0228",
"fax_number": "361-575-0782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORIA OF TEXAS LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VICTORIA OF TEXAS LP",
"enumeration_date": "2007-06-20",
"last_updated": "2011-06-30",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "877-892-9813"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DeTar Senior Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
- Victoria of Texas LP (Detar Outpatient Rehab)
- Victoria of Texas LP (DeTar Healthcare System)
- Victoria of Texas LP (DeTar Healthcare System)
- Victoria of Texas LP (DeTar Hospital Navarro)
- Victoria of Texas LP (DeTar Health System)
- Victoria of Texas LP (DeTar Hospital North Emergency Department)
- Victoria of Texas LP (Detar Healthcare System)
- Victoria of Texas LP (DeTar Hospital)
- Victoria Oral & Maxillofacial Surgery Associates Inc,
- Victoria Orthodontic Associates (Frels and Janssen Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.