Organization
VICTORIA ORTHOPEDIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN ROBERTSON (OFFICE MANAGER)
(361) 578-2911
Entity
Organization
Contact information
Practice address
605 E SAN ANTONIO ST, SUITE 410 E, VICTORIA, TX 77901-6040
(361) 578-2911
(361) 578-4733
Mailing address
605 E SAN ANTONIO ST, SUITE 410 E, VICTORIA, TX 77901-6040
(361) 578-2911
(361) 578-4733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062BH
BLUE CROSS
TX
05
—
080904801
—
TX
Enumeration date
10/12/2006
Last updated
05/09/2008
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