Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | PA08524 | TX |
NPI | 1164863502 |
---|---|
Provider Name | Jose Sigala |
First Address | San Antonio, TX 78258-4098 |
Second Address | San Antonio, TX 78258-4098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2013 |
Last Update Date | 07/07/2015 |