VICTORIA CONSTANT


Address: 3701 Vision Dr Ste 101, Fort Worth, TX 76109-1184
Phone: 4698049285

VICTORIA CONSTANT (NPI# 1790159721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790159721
Entity Type Individual
Full Name VICTORIA CONSTANT
Credential P.A.
Practice Address 3701 Vision Dr Ste 101
Fort Worth
TX 76109-1184
Practice Telephone 4698049285
Enumeration Date 2015-11-13
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA11187 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2550 Gray Falls Dr Ste 150, Houston, TX 770776687 7134222920 2817208809
82013 Doctor Carreon Blvd, Suite G, Indio, CA 922014832 7607759500

Office Location

Street Address 3701 VISION DR STE 101
City FORT WORTH
State TX
Zip Code 76109-1184

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881156164 Elizabeth Laborde Dds Pllc Clinic/Center 5656 Edwards Ranch Rd, Fort Worth, TX 76109 2019-04-04
1992273965 Debra Cooper Lantz Occupational Therapist 4252 Bryant Irvin Road, Fort Worth, TX 76109 2018-11-08
1417434119 Dermatology Specialists of Fort Worth Pllc Dermatology 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 2018-07-25
1417446709 Eating Recovery Center of Texas, LLC Clinic/Center 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 2018-05-02
1245751742 Marissa Izabel San Miguel Optometrist 5912 Convair Dr Ste 208, Fort Worth, TX 76109 2017-07-05
1174910111 Parkway Dental Professionals Preferred Provider Organization 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 2015-04-16
1831583095 Deborah K Lehmann, M.d. Clinic/Center 6420 Southwest Blvd., #128, Fort Worth, TX 76109 2015-03-26
1184036428 Ft Worth Ranch Assist, LLC Neurological Surgery 3516 Ranch View Terrace, Fort Worth, TX 76109 2014-05-21
1821435538 Metx LLC Hearing Instrument Specialist 4618 Sw Loop 820, Fort Worth, TX 76109 2013-06-04
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942654462 Damon A Cates Physician Assistant Fmc Carswell, J St Bldg 3000, Fort Worth, TX 76127 2016-04-21
1962828871 Erika Zuniga Martinez Physician Assistant 800 7th Ave, Fort Worth, TX 76104-2704 2014-03-16
1336562883 Elizabeth Suzanne Widmer Physician Assistant 12469 Timberland Blvd Ste 501, Fort Worth, TX 76244-5216 2014-02-03
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1427255330 Alhaji Mahama Mumuni Physician Assistant 3305 Miller Ave Ste B, Fort Worth, TX 76119-1956 2007-07-03
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1073533725 Michael Howard Johnson Physician Assistant 4504 Boat Club Rd Ste 800, Fort Worth, TX 76135-7002 2006-07-19
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Competitor

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City FORT WORTH
Zip Code 76109

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Dataset Information

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.

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