Sandigo, Gustavo H

Sandigo, Gustavo H is an individual health care provider with primary practice located at 202 James Coleman Dr Suite A, Victoria TX 77904-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sandigo, Gustavo H can be contacted via phone (361) 573-4000.

Contact Information

Primary practice address
202 James Coleman Dr Suite A Victoria TX 77904-3109
Fax: (361) 485-0684
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J2777 Texas

Profile Details

NPI number 1174571624
LBN Legal business name Sandigo, Gustavo H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 28th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174571624 NPPES
Texas MEDICAID 143698201
Texas MEDICAID 129610508
Texas Other 4314160
Texas Other 8880M3
Texas Other 89M33302
Texas MEDICAID P089M3332

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