National Provider Identifier Database

VICTOR SONGBANDITH LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

VICTOR SONGBANDITH LLC
101 NORTH ERMA
PRESIDIO, TX79845-0693
Phone: 432-229-4246
Fax: 432-229-4249
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for VICTOR SONGBANDITH LLC

NPI Number 1801036686
Legal business name
LBN
VICTOR SONGBANDITH LLC
Authorized official VICTOR SONGBANDITH - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 03/06/2009
Last updated 07/03/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: L0612
  • TX Other: 213263101 MEDICAID PART A
  • TX Other: 213263102 MEDICAID PART B
  • TX Other: 673912 MEDICARE PART A PTAN
  • TX Other: TXB161127 MEDICARE PART B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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