Provider Demographics
NPI:1144282351
Name:TEST, VICTOR J (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:J
Last Name:TEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 4TH STREET STOP 9410
Mailing Address - Street 2:3601 4TH STREET STOP 9410
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-9410
Mailing Address - Country:US
Mailing Address - Phone:806-743-3150
Mailing Address - Fax:806-743-2893
Practice Address - Street 1:TEXAS TECH PHYSICIANS
Practice Address - Street 2:3601 4TH STREET STOP 9410
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-9410
Practice Address - Country:US
Practice Address - Phone:806-743-3150
Practice Address - Fax:806-743-2893
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2025-02-07
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Provider Licenses
StateLicense IDTaxonomies
OK28079207RP1001X
NC2016-00065207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88679FOtherBLUE SHIELD
TX290013844OtherRR/MEDICARE
TX0969354-05OtherCSHCN
TX0969354-04Medicaid
TX0969354-04Medicaid
TX0969354-04Medicaid