MEDICARE: MARK STEVEN RIGO MD

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	207Q00000X	Family Medicine Physician	G9198	TX

General Provider Information

NPI Number	:	1346237054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK STEVEN RIGO MD

Provider Business Mailing Address
First Line	:	18220 TOMBALL PKWY
Second Line	:	STE 390
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:	281-469-7704
Fax Number	:	281-970-1459

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY
Second Line	:	STE 390
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:	281-469-7704
Fax Number	:	281-970-1459

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/28/2008

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