MEDICARE: MISS AIDA L VIGIL-SANCHEZ M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	R6703	TX
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1124448006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AIDA L VIGIL-SANCHEZ M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 66308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-6308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5616 LAWNDALE ST STE 108&A110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3821
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2014
Last Update Date	:	09/24/2021

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