Provider Demographics
NPI:1033625975
Name:VICTORIA COUNTY
Entity Type:Organization
Organization Name:VICTORIA COUNTY
Other - Org Name:HARP OF VICTORIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-578-6281
Mailing Address - Street 1:2805 N NAVARRO ST STE 104
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3946
Mailing Address - Country:US
Mailing Address - Phone:361-578-6281
Mailing Address - Fax:361-935-6200
Practice Address - Street 1:2805 N NAVARRO ST STE 102
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3946
Practice Address - Country:US
Practice Address - Phone:361-578-6281
Practice Address - Fax:832-202-0250
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VICTORIA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-14
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health