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Organization
VICTORIA MEDICAL & REHABILITATION ASSOCIATES, P.A.
Active
Organization
VICTORIA MEDICAL & REHABILITATION ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR BAQUIRAN VELASCO M.D. (PRESIDENT)
(361) 575-3775
Entity
Organization
Contact information
Practice address
601 E SAN ANTONIO ST, STE. 503W, VICTORIA, TX 77901-6004
(361) 575-3775
Mailing address
601 E SAN ANTONIO ST, STE. 503W, VICTORIA, TX 77901-6004
(361) 575-3775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K6734
TX
208100000X
Physical Medicine & Rehabilitation Physician
K6733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081249701
—
TX
Enumeration date
05/08/2006
Last updated
03/03/2010
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