Healthcare Provider Details

I. General information

NPI: 1053040105
Provider Name (Legal Business Name): ERIN MICHELLE VIGIL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S COULTER ST
AMARILLO TX
79106-1770
US

IV. Provider business mailing address

1501 S COULTER ST
AMARILLO TX
79106-1770
US

V. Phone/Fax

Practice location:
  • Phone: 806-354-1000
  • Fax:
Mailing address:
  • Phone: 214-480-4141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number745813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: