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General NPI Number Information
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NPI Number | 1174571624
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Entity Type | Individual
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Provider Name | GUSTAVO H SANDIGO MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 202 JAMES COLEMAN DR SUITE A
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City | VICTORIA
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State | TX
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Zip | 77904-3109
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Country | US
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Telephone | 361-573-4000
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Fax | 361-485-0684
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Provider Business Mailing Address
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Address Line | 202 JAMES COLEMAN DR STE A
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City | VICTORIA
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State | TX
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Zip | 77904-3111
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Country | US
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Telephone | 361-573-4000
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Fax | 361-485-0684
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | J2777
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J2777
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License Number State | TX
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