Individual
MARK A PIGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3510 FANNIN STREET, BEAUMONT, TX 77701
(409) 835-5300
Mailing address
4223 HILLBROOK DRIVE, ORANGE, TX 77632
(409) 835-5300
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18252
TX
1223P0700X
Prosthodontics
4443
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
18252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130543507
—
TX
05
—
1892955
—
LA
Enumeration date
10/03/2006
Last updated
09/13/2009
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