Provider Demographics
NPI:1962480392
Name:VICTORIA ENT ASSOCIATES, LLP
Entity Type:Organization
Organization Name:VICTORIA ENT ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THANG
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-573-4331
Mailing Address - Street 1:117 MEDICAL DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3113
Mailing Address - Country:US
Mailing Address - Phone:361-573-4331
Mailing Address - Fax:361-573-5096
Practice Address - Street 1:117 MEDICAL DR
Practice Address - Street 2:SUITE #1
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3113
Practice Address - Country:US
Practice Address - Phone:361-573-4331
Practice Address - Fax:361-573-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV1000G59GMedicare ID - Type UnspecifiedMEDICARE PROVIDER #