Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | R7108 | TX |
NPI | 1033529789 |
---|---|
Provider Name | Peter Sguigna |
First Address | Dallas, TX 75390-9087 |
Second Address | Dallas, TX 75235-7708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2014 |
Last Update Date | 13/04/2021 |