Provider Demographics
NPI:1427293174
Name:VICTORIA SLEEP DISORDER CENTER, LP
Entity type:Organization
Organization Name:VICTORIA SLEEP DISORDER CENTER, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:361-652-0025
Mailing Address - Street 1:PO BOX 3525
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77903-3525
Mailing Address - Country:US
Mailing Address - Phone:361-570-1900
Mailing Address - Fax:361-485-0063
Practice Address - Street 1:111 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2924
Practice Address - Country:US
Practice Address - Phone:361-570-1900
Practice Address - Fax:361-485-0063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic