Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | L7232 | TX |
NPI | 1033266911 |
---|---|
Provider Name | Maria L Trirogoff |
First Address | Austin, TX 78758-2401 |
Second Address | Austin, TX 78758-2401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
195382001 | (05) | TX |
P00698110 | RRMCR (01) | TX |