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Contact Information

VICTOR SONGBANDITH LLC
101 NORTH ERMA
PRESIDIO, TX79845-0693
 Phone: 432-229-4246
 Fax: 432-229-4249
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for VICTOR SONGBANDITH LLC

NPI # 1801036686
LBN Legal business name VICTOR SONGBANDITH LLC
Authorized official VICTOR SONGBANDITH - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2009
Last updated 07/03/2013 - About 13 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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