Individual
DR. LUIS H VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 332-8846
(580) 421-1208
Mailing address
205 BENTON DR APT 9111, ALLEN, TX 75013-1163
(214) 205-2223
(214) 324-3057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101238880
VIRGINIA MEDICAL LIC
VA
05
—
10416922
—
VA
Enumeration date
07/22/2006
Last updated
06/16/2014
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