CITIZENS MEDICAL CENTER COUNTY OF VICTORIA (NPI# 1346393972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346393972 |
| Entity Type | Organization |
| Organization Name | CITIZENS MEDICAL CENTER COUNTY OF VICTORIA |
| Other Organization Name | CITIZENS MEDICAL CENTER MVC PHYSICIANS |
| Practice Address |
8410 Fm 236 Victoria TX 77905-2646 |
| Mailing Address |
Po Box 2024 Victoria TX 77902-2024 |
| Practice Telephone | 3615825740 |
| Practice Fax Number | 3615825706 |
| Mailing Telephone | 3615741748 |
| Mailing Fax Number | 3615725126 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | MR. DAVID BROWN (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 3615725112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137907503 | 05 | |
| TX | BLUE SHIELD | 000000T844 | 01 |
| Other Name | Type Code |
|---|---|
| Citizens Medical Center MVC Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427106103 | Citizens Medical Center County of Victoria | Home Health | 2710 Hospital Dr Ste 202, Victoria, TX 77901-5743 | 2007-01-08 |
| 1396145587 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 430 Old Austin Hwy, Bastrop, TX 78602-5168 | 2014-08-26 |
| 1588063804 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 104 Rex Kerwin Ct, Pflugerville, TX 78660-2630 | 2014-08-22 |
| 1295134526 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 169 Medical Dr, Pearsall, TX 78061-6604 | 2014-08-22 |
| 1245639566 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 3030 Fig St, Corpus Christi, TX 78404-3834 | 2014-08-22 |
| 1669871984 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 1373 N Avenue C, Elgin, TX 78621-1528 | 2014-08-22 |
| 1326447640 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 9801 S 1st St, Austin, TX 78748-6760 | 2014-08-22 |
| 1942609268 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 5301 Duval Rd, Austin, TX 78727-6618 | 2014-08-22 |
| 1740689066 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2806 Real St, Austin, TX 78722-1715 | 2014-08-22 |
| 1255730578 | Citizens Medical Center County of Victoria | Skilled Nursing Facility | 2735 Airline Rd, Corpus Christi, TX 78414-3306 | 2014-08-22 |
| Street Address |
8410 FM 236 |
| City | VICTORIA |
| State | TX |
| Zip Code | 77905-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740341940 | Richard Holmes Heard | Family Medicine | 8410 Fm 236, Victoria, TX 77905-2646 | 2006-12-12 |
| 1487021762 | Ngoc Duran | Nurse Practitioner | 8410 Fm 236, Victoria, TX 77905-2646 | 2015-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920116 | Cameo Lynn Mead | Counselor | 513 Dove Dr, Victoria, TX 77905 | 2018-11-09 |
| 1952883308 | Danielle Renee Rainosek | Registered Nurse | 2058 Berger Road, Victoria, TN 77905 | 2018-09-02 |
| 1487130175 | Stephanie Reichert-garza | Licensed Vocational Nurse | 135 Tilley Ln, Victoria, TX 77905 | 2018-07-16 |
| 1609958628 | Devereux Foundation | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2006-10-19 |
| 1447819958 | Amber Fay Kotzur | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2019-06-08 |
| 1053603712 | Scarlett Black | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2011-05-12 |
| 1447572953 | Angelle T Solano | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2010-02-25 |
| 1841528114 | Kimberly W Modisette | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2009-11-25 |
| 1417281858 | Debbie A Coltman | Counselor | 120 David Wade Dr, Victoria, TX 77905 | 2009-10-01 |
| 1821232117 | Alyce Yvonne Martin | Counselor | 120 David Wade Drive, Victoria, TX 77905 | 2009-04-30 |
| Find all providers in zip 77905 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401856 | Denise Mary Tomanek | Family Medicine | 218 Cobble Stone Ct, Victoria, TX 77904-2975 | 2020-09-15 |
| 1558823336 | Uzoma Melissa Obi-nwankwo | Family Medicine | Detar Family Medicine Center, 501 E Colorado St., Victoria, TX 77901 | 2019-04-02 |
| 1841786332 | Victoria Family Medical Clinic Pa | Family Medicine | 2806 N Navarro St Ste D, Victoria, TX 77901-3937 | 2018-07-08 |
| 1851802995 | Natural Wellness of Texas, Inc | Family Medicine | 2601 N Azalea St Ste 31, Victoria, TX 77901-4151 | 2017-10-16 |
| 1235585381 | Daniel Espinosa | Family Medicine | 601 E San Antonio St Ste 102w, Victoria, TX 77901-6051 | 2016-05-08 |
| 1013328160 | Julia Shae Krause-castaneda | Family Medicine | 102 Springwood Dr, Victoria, TX 77904-3501 | 2014-05-12 |
| 1275801342 | Nicholas Lin Mdpa | Family Medicine | 2700 Citizens Plaza, Suite 101, Victoria, TX 77901-5756 | 2011-12-05 |
| 1922273176 | Kishan Chand | Family Medicine | 2700 Citizens Plz Ste 301, Victoria, TX 77901-5755 | 2008-04-29 |
| 1831386549 | Hop Medical Services, M.d.p.a. | Family Medicine | 1902 John Stockbauer Drive, Suite 300, Victoria, TX 77904 | 2007-09-26 |
| 1588855290 | Med C Clinico | Family Medicine | 3804 John Stockbauer, Suite E, Victoria, TX 77904 | 2007-08-07 |
| Find all providers in VICTORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.