VICTOR A ESTRADA MD PA NPI 1477763670

NPI Information

  • NPI: 1477763670
  • Provider Name: VICTOR A ESTRADA MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 14615 SAN PEDRO
    # 250
    SAN ANTONIO, TX
    ZIP 78232
  • Phone: (210) 490-2051

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NPI Details

VICTOR A ESTRADA MD PA is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VICTOR A ESTRADA MD PA NPI is 1477763670. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14615 SAN PEDRO
# 250
SAN ANTONIO, TX
ZIP 78232-316
Phone: (210) 490-2051
Fax: (210) 490-6758

The provider's authorized official is Victor A Estrada .
The authorized official title is Owner-president and has the following contact phone number (210) 490-2051.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/1/2008.

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
1174400000XSpecialistG8095TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B22581MEDICARE UPINTEXAS
2120515505MEDICAIDTEXAS
300201VMEDICARE PINTEXAS

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: 3/30/2025

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