Provider Demographics
NPI:1881973873
Name:BARNICA ELVIR, VICTOR HUGO (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HUGO
Last Name:BARNICA ELVIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:21212 NORTHWEST FWY STE 235
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5885
Practice Address - Country:US
Practice Address - Phone:832-220-3020
Practice Address - Fax:833-471-3924
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0006208600000X, 208C00000X
TXU1470208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM87623889Medicaid