Mignacca, Robert C.
Mignacca, Robert C. is an individual health care provider with primary practice located at 4910 Mueller Blvd Ste 200 , Austin TX 78723-3079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Mignacca, Robert C. can be contacted via phone (512) 628-1900.Contact Information
Primary practice address
4910 Mueller Blvd Ste 200
Austin TX 78723-3079
Phone: (512) 628-1900
Fax: (512) 628-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | P1900 | Texas |
Profile Details
| NPI number | 1891707733 |
|---|---|
| LBN Legal business name | Mignacca, Robert C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jun 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891707733 | NPPES |
| Texas | MEDICAID | 296461101 |
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