Organization
DETAR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH READ SOMMERFELD MS, RD, LD (CLINICAL NUTRITION MANAGER)
(361) 788-6073
Entity
Organization
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 788-6073
(361) 788-6174
Mailing address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 788-6073
(361) 788-6174
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
875205
MI
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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