Horadam, Victor William

Horadam, Victor William is an individual health care provider with primary practice located at 4700 N Galloway Ave , Mesquite TX 75150-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Horadam, Victor William can be contacted via phone (972) 686-6411.

Contact Information

Primary practice address
4700 N Galloway Ave Mesquite TX 75150-1516
Phone: (972) 686-6411
Fax: (972) 686-0594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X E6425 Texas

Profile Details

NPI number 1881636991
LBN Legal business name Horadam, Victor William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881636991 NPPES
Texas MEDICAID 135707103
Texas MEDICAID 135707102
Texas MEDICAID 135707109
Texas MEDICAID 135707105
Texas MEDICAID 135707104
Texas MEDICAID 135707101
Texas Other 8R1467
Texas MEDICAID 135707111

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