Provider Demographics
NPI:1699880344
Name:SEARS, VIRGIL G (MD)
Entity type:Individual
Prefix:
First Name:VIRGIL
Middle Name:G
Last Name:SEARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 EAST CALIFORNIA
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-4202
Mailing Address - Country:US
Mailing Address - Phone:940-665-5566
Mailing Address - Fax:940-665-8663
Practice Address - Street 1:836 EAST CALIFORNIA
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-4202
Practice Address - Country:US
Practice Address - Phone:940-665-5566
Practice Address - Fax:940-665-8663
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453922Medicare ID - Type UnspecifiedRHC/PART A
TXB88239Medicare UPIN
TX00LA05Medicare ID - Type UnspecifiedPART B