Individual
CARSON JOHN VIGLIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST # 5.170, HOUSTON, TX 77030-1501
(713) 500-7160
(713) 500-0648
Mailing address
1201 BERING DR APT 6, HOUSTON, TX 77057-2310
(512) 785-9197
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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