Provider Demographics
NPI:1902385602
Name:ARANDA, VICTOR (PTA)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:ARANDA
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 MARS DR
Mailing Address - Street 2:
Mailing Address - City:COTULLA
Mailing Address - State:TX
Mailing Address - Zip Code:78014-3146
Mailing Address - Country:US
Mailing Address - Phone:830-879-4483
Mailing Address - Fax:
Practice Address - Street 1:369 MARS DR
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014-3146
Practice Address - Country:US
Practice Address - Phone:830-879-4483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2085010208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation