Organization
VICTOR A ESTRADA MD CHTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN WOLF (CREDENTIALING SPECIALIST)
(512) 732-2774
Entity
Organization
Contact information
Practice address
4445 S EASTERN AVE, SUITE A, LAS VEGAS, NV 89119-7851
(702) 735-1556
(702) 737-7495
Mailing address
PO BOX 202110, AUSTIN, TX 78720-2110
(512) 732-2774
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
10/18/2017
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