Individual
AUGUSTO CHIRIBOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME95175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139162518
—
TX
01
—
8BN298
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/25/2006
Last updated
03/07/2023
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