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Individual

JASON NIRGIOTIS

Active
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Individual

JASON NIRGIOTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
H3828
TX
2086S0120X
Pediatric Surgery Physician
Primary
H3828
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100050670 A
OK
05
131497307
TX
05
131497308
TX
05
J8692
NM
Enumeration date
07/28/2006
Last updated
05/13/2016
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