Individual
AURORA MARY MIGNOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 LONDONDERRY DR, WACO, TX 76712-7915
(254) 751-4880
(254) 751-4885
Mailing address
PO BOX 18962, BELFAST, ME 04915-4084
(800) 566-5050
(254) 537-6869
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2024034855
MO
2084P0800X
Psychiatry Physician
Primary
M3324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
BCBS TX
TX
05
—
084249401
—
TX
05
—
182846902
—
TX
Enumeration date
10/18/2006
Last updated
12/07/2024
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