Provider Demographics
NPI:1073781738
Name:METU, VICTORIA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:METU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 W AIRPORT BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2483
Mailing Address - Country:US
Mailing Address - Phone:832-640-2842
Mailing Address - Fax:713-271-0708
Practice Address - Street 1:8600 W AIRPORT BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2483
Practice Address - Country:US
Practice Address - Phone:832-640-2842
Practice Address - Fax:713-271-0708
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011238251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health