Provider Demographics
NPI:1588213235
Name:REGIONAL ORTHOPEDIC CARE PLLC
Entity Type:Organization
Organization Name:REGIONAL ORTHOPEDIC CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:URSUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-344-2504
Mailing Address - Street 1:PO BOX 1768
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77592-1768
Mailing Address - Country:US
Mailing Address - Phone:409-739-6119
Mailing Address - Fax:409-943-4515
Practice Address - Street 1:7111 MEDICAL CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2667
Practice Address - Country:US
Practice Address - Phone:409-739-6119
Practice Address - Fax:409-943-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty