Provider Demographics
NPI:1033146865
Name:ARELLANO, VICTOR HUGO V (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR HUGO
Middle Name:V
Last Name:ARELLANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:VICTO HUGO
Other - Middle Name:VALENCIA
Other - Last Name:ARELLANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5719 SAPPHIRE VISTA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5784
Mailing Address - Country:US
Mailing Address - Phone:713-896-9936
Mailing Address - Fax:832-467-0308
Practice Address - Street 1:15410 RIDGE PARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3324
Practice Address - Country:US
Practice Address - Phone:281-855-2244
Practice Address - Fax:281-855-2752
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7777207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140341253Medicaid
TXTXB116369Medicare UPIN
TX8D4066Medicare ID - Type Unspecified
TX140341253Medicaid
TXB11984Medicare UPIN