Provider Demographics
NPI:1518996750
Name:KNOPP, VICTOR CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:CHARLES
Last Name:KNOPP
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:212 BELLA KATY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6821
Mailing Address - Country:US
Mailing Address - Phone:281-717-4923
Mailing Address - Fax:281-579-3156
Practice Address - Street 1:212 BELLA KATY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6821
Practice Address - Country:US
Practice Address - Phone:281-717-4923
Practice Address - Fax:281-579-3156
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5259174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00H90CMedicare PIN
TXC17973Medicare UPIN