Provider Demographics
NPI:1891747994
Name:SCHECHTER, VICTOR AVI (DPM)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:AVI
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6103
Mailing Address - Country:US
Mailing Address - Phone:972-396-9101
Mailing Address - Fax:972-396-9105
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 2300
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-396-9101
Practice Address - Fax:972-396-9105
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0774213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121588104Medicaid
TXH0CG42901OtherBCBS
TX121588104Medicaid
TX4494680001Medicare NSC
TXH0CG42901OtherBCBS
TX8F21971Medicare PIN
TX480001478Medicare PIN