| Detar Healthcare System | |
|
101 Medical Dr Victoria TX 77904-3102 | |
| (361) 573-6100 | |
| Not Available |
| Full Name | Detar Healthcare System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 101 Medical Dr, Victoria, Texas |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Detar Healthcare System 101 Medical Dr Victoria TX 77904-3102 Ph: (361) 573-6100 | Detar Healthcare System 101 Medical Dr Victoria TX 77904-3102 Ph: (361) 573-6100 |
| NPI Number | 1427338508 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427338508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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Uri L. Gonik, Ph.d. & Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1001 E Airline Rd, Victoria, TX 77901 Phone: 361-575-5021 Fax: 361-575-0623 | |
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