Individual
ROBERT C. MIGNACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4910 MUELLER BLVD STE 200, AUSTIN, TX 78723-3079
(512) 628-1900
(512) 628-1901
Mailing address
4910 MUELLER BLVD STE 200, AUSTIN, TX 78723-3079
(512) 628-1900
(512) 628-1901
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
P1900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296461101
—
TX
Enumeration date
08/12/2006
Last updated
06/10/2022
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