VICTOR BARAHONA (NPI# 1164515540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164515540 |
Entity Type | Individual |
Full Name | VICTOR BARAHONA |
Credential | M.D. |
Practice Address |
201 W. Main Suite B Fabens TX 79838 |
Mailing Address |
Po Box 797 Fabens TX 79838-0797 |
Practice Telephone | 9157644321 |
Mailing Telephone | 9157644321 |
Enumeration Date | 2006-09-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | F7394 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | P000F15B8 | 05 |
Street Address |
201 W. MAIN SUITE B |
City | FABENS |
State | TX |
Zip Code | 79838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972146496 | Desert Star Behavioral Health, LLC | Clinic/Center | 650 Ne G Avenue, Fabens, TX 79838 | 2019-10-28 |
1063926582 | Steve Anthony Marasovich Sr. | Obstetrics & Gynecology | 591 Fabens Island Road, Fabens, TX 79838 | 2017-11-20 |
1194236182 | Us Drug Mart Inc | Pharmacy | 1420 Fabens Rd Ste B, Fabens, TX 79838 | 2017-10-17 |
1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
1578011078 | Our Family Home Health Care Agency | Home Health | 1268 Twig St, Fabens, TX 79838 | 2016-09-14 |
1871910224 | Vanessa Gandarilla | Home Health | 1268 Twig Street, Fabens, TX 79838 | 2014-03-24 |
1013272772 | Julia Kviatkovskaya | Nurse Practitioner | 101 Potasio St, Fabens, TX 79838 | 2012-07-09 |
1891066692 | Texas Kids Dental Care of Fabens, Pa | Dentist | 1018 N. Fabens, Fabens, TX 79838 | 2012-01-25 |
1598053423 | Juan Carlos Israel Hernandez Garcia | Family Medicine | University Medical Center At Fabens, 101 Potasio, Fabens, TX 79838 | 2011-07-12 |
1255543724 | Steven L Mosher | Pharmacist | 1420 Fabens Road, Suite B, Fabens, TX 79838 | 2007-05-04 |
Find all providers in zip 79838 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.