Victor Songbandith LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

L0612 Issued in TX

Legal business name

VICTOR SONGBANDITH LLC

Practice address

101 North Erma
Presidio, TX 79845-0693

Phone

(432) 229-4246

Fax

(432) 229-4249

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Victor Songbandith, MD

Title

Partner

Phone

(915) 241-4734

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Virabandith Victor Songbandith, M.D.

  • Family Medicine Physician
  • Wimauma, FL
  • NPI 1750489043

  I20040723000231, I20240731000219

  Same enrollment

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1801036686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-241-4734",
            "fax_number": "915-855-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH ERMA",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "798450693",
            "telephone_number": "432-229-4246",
            "fax_number": "432-229-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR SONGBANDITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "SONGBANDITH",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "915-241-4734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "L0612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PART B",
            "identifier": "213263102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A PTAN",
            "identifier": "673912",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PART A",
            "identifier": "213263101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "TXB161127",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Salcido Ramos, CARE GIVER
• Reliance Medical, Inc
• Reliance Medical, Inc.
• Spencer Brothers Pharmacy
• Arian Tavarez
• Rogelio A Zubia, M.ED., LPC

• Preferred Provider Organization in Presidio, TX
• Providers in Presidio, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.