Individual
JORGE LUIS VIGOREAUXARRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(726) 582-4180
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(726) 582-4180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200266-30
WI
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2026
Last updated
06/03/2026
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