Individual
DR. PAUL VIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 W 34TH ST STE 200, AUSTIN, TX 78705-1211
(512) 454-5821
(512) 459-9137
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
K4600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6A9802
MEDICARE PTAN
TX
Enumeration date
09/15/2006
Last updated
10/31/2023
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