Individual
VICTOR R LAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(719) 192-2991
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
E6829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110178395
RAILROAD MEDICARE
TX
05
—
132509405
—
TX
01
—
88Y810
BCBSTX
TX
Enumeration date
05/25/2006
Last updated
08/08/2012
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