Provider Demographics
NPI:1710937883
Name:MELTZER, VICTOR N (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:N
Last Name:MELTZER
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:PO BOX 202065
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-8065
Mailing Address - Country:US
Mailing Address - Phone:817-265-9700
Mailing Address - Fax:817-277-4164
Practice Address - Street 1:1132 S BOWEN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2204
Practice Address - Country:US
Practice Address - Phone:817-265-9700
Practice Address - Fax:817-277-4164
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBG7277207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
003OtherTRICARE
89K851OtherBLUE CROSS BLUE SHIELD
003OtherTRICARE
89K851OtherBLUE CROSS BLUE SHIELD