MR. VICTOR LEE ILOG FNP NPI 1134628563

NPI Information

NPI: 1134628563
Provider Name: MR. VICTOR LEE ILOG, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6028 SURETY DR
EL PASO, TX
ZIP 79905
Phone: (915) 544-3500
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MR. Victor Lee Ilog, FNP is a psychiatric/mental health nurse practitioner in El Paso, TX. MR. Victor Lee Ilog, FNP NPI is 1134628563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6028 SURETY DR
EL PASO, TX
ZIP 79905-018
Phone: (915) 544-3500

The NPI 1134628563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	CNP-03539	NEW MEXICO	No
2	363LF0000X	Nurse Practitioner	Family	AP136515	TEXAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP-03539	NEW MEXICO	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP136515	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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