Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | N6839 | TX |
NPI | 1063651610 |
---|---|
Provider Name | Dr. Mark Anthony Ciaglia |
First Address | The Woodlands, TX 77389-4962 |
Second Address | The Woodlands, TX 77384-8044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2009 |
Last Update Date | 12/08/2015 |