Individual
VICTOR BARAHONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W. MAIN, SUITE B, FABENS, TX 79838
(915) 764-4321
Mailing address
PO BOX 797, FABENS, TX 79838-0797
(915) 764-4321
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F7394
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000F15B8
—
TX
Enumeration date
09/30/2006
Last updated
07/08/2007
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