Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | K4211 | TX |
Y | 208000000X | Pediatrician | K4211 | TX |
NPI | 1083690390 |
---|---|
Provider Name | Alma S Rigonan |
First Address | Corpus Christi, TX 78405-1807 |
Second Address | Corpus Christi, TX 78405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 24/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
092340108 | (05) | TX |
092340111 | (05) | TX |