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Organization
VICTORIA OF TEXAS LP
Active
Organization
VICTORIA OF TEXAS LP
Active
Other names
Detar Healthcare System
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 575-7441
(361) 788-2693
Mailing address
PO BOX 2089, VICTORIA, TX 77902-2089
(361) 575-7441
(361) 788-6114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
261QC0050X
Critical Access Hospital Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
000453
TX
Other
Enumeration date
05/17/2006
Last updated
08/27/2024
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