Organization
DR. GUSTAVO SANDIGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO H SANDIGO MD (PHYSICIAN)
(361) 572-9654
Entity
Organization
Contact information
Practice address
111 NORTHPARK DR, VICTORIA, TX 77901-2924
(361) 572-9654
Mailing address
111 NORTHPARK DR, VICTORIA, TX 77901-2924
(361) 572-9654
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
J2777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129610504
—
TX
01
—
90082672
DPS
—
Enumeration date
06/22/2012
Last updated
03/07/2023
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