Provider Demographics
NPI:1518996750
Name:KNOPP, VICTOR CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:CHARLES
Last Name:KNOPP
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 1:2211 N FRY RD
Mailing Address - Street 2:SUITE N
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7225
Mailing Address - Country:US
Mailing Address - Phone:281-578-8400
Mailing Address - Fax:281-579-3156
Practice Address - Street 1:2211 N FRY RD
Practice Address - Street 2:SUITE N
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7225
Practice Address - Country:US
Practice Address - Phone:281-578-8400
Practice Address - Fax:281-579-3156
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5259174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H90CMedicare PIN
TXC17973Medicare UPIN