Provider Demographics
NPI:1497726897
Name:SEGHERS, VICTOR K (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:K
Last Name:SEGHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:441 HIGHWAY 71 W
Mailing Address - Street 2:SUITE C
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3931
Mailing Address - Country:US
Mailing Address - Phone:512-304-0313
Mailing Address - Fax:512-304-0326
Practice Address - Street 1:441 HIGHWAY 71 W
Practice Address - Street 2:SUITE C
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3931
Practice Address - Country:US
Practice Address - Phone:512-304-0313
Practice Address - Fax:512-304-0326
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN40593207RI0011X
TXE3445207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology