Organization
PAUL G VIGO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL G VIGO MD (MD)
(512) 454-5821
Entity
Organization
Contact information
Practice address
720 W 34TH ST, SUITE 200, AUSTIN, TX 78705-1205
(512) 454-5821
(512) 260-8831
Mailing address
720 W 34TH ST, SUITE 200, AUSTIN, TX 78705-1205
(512) 454-5821
(512) 260-8831
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
K4600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174933501
—
TX
Enumeration date
01/14/2008
Last updated
09/07/2012
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