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Individual

DR. JUSTIN JOAQUIN VIGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3350 JUNCTION HWY, INGRAM, TX 78025-3298
(210) 545-0087
(210) 545-3455
Mailing address
19141 STONE OAK PKWY STE 104, SAN ANTONIO, TX 78258-3367
(210) 545-0087
(210) 545-3455

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
L6206
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L6206
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157837903
TX
Enumeration date
11/23/2005
Last updated
03/27/2026
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