Organization
VICTORIA VEIN & SURGERY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN M HAMILTON M.D. (GENERAL SURGEON)
(361) 575-8346
Entity
Organization
Contact information
Practice address
1701 E RED RIVER ST, VICTORIA, TX 77901-5621
(361) 575-8346
(361) 575-8351
Mailing address
PO BOX 4532, VICTORIA, TX 77903-4532
(361) 575-8346
(361) 575-8351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275672347
NPI INDIVIDUAL
TX
01
—
M6646
STATE LICENSE
TX
Enumeration date
07/11/2011
Last updated
10/28/2011
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