Provider Demographics
NPI:1891178935
Name:ARTHUR, VICTORIA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42078 VETERANS AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1490
Mailing Address - Country:US
Mailing Address - Phone:985-902-7770
Mailing Address - Fax:985-902-7773
Practice Address - Street 1:42078 VETERANS AVE
Practice Address - Street 2:SUITE H
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1490
Practice Address - Country:US
Practice Address - Phone:985-902-7770
Practice Address - Fax:985-902-7773
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200751363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical