Provider Demographics
NPI:1801316229
Name:DURU, VICTORIA C (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:C
Last Name:DURU
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:VICTORIA
Other - Middle Name:CHISARA
Other - Last Name:DOMINICS AND OKEAGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C, PMHNP-BC
Mailing Address - Street 1:5015 QUILL RUSH WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3688
Mailing Address - Country:US
Mailing Address - Phone:713-505-0111
Mailing Address - Fax:
Practice Address - Street 1:9207 COUNTRY CREEK DR STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7745
Practice Address - Country:US
Practice Address - Phone:171-350-5011
Practice Address - Fax:713-505-0111
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134225363LF0000X, 363LP0808X
TX3747P1801X
TX7644783747P1801X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health