Individual
VICTOR EUGENE LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2524 NOTTINGHAM ST, HOUSTON, TX 77005-1412
(713) 526-4751
(713) 526-4342
Mailing address
2524 NOTTINGHAM ST, HOUSTON, TX 77005-1412
(713) 526-4751
(713) 526-4342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-3466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K72H
BCBS OF TX
TX
01
—
10016996
AMERIGROUP
TX
01
—
180170
VALUE OPTIONS
TX
Enumeration date
07/07/2006
Last updated
07/09/2007
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