Provider Demographics
NPI:1437199353
Name:VLAHAKOS, VICTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:VLAHAKOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8710 DONYS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1547
Mailing Address - Country:US
Mailing Address - Phone:832-266-4137
Mailing Address - Fax:713-849-0552
Practice Address - Street 1:8710 DONYS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-1547
Practice Address - Country:US
Practice Address - Phone:832-266-4137
Practice Address - Fax:713-849-0552
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2915207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032473301Medicaid
TXTXB147109Medicare UPIN
TX00CF14Medicare ID - Type UnspecifiedMEDICARE
TX032473301Medicaid