MEDICARE: SIGMA GLOBAL CORPORATION

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	333600000X	Pharmacy	23760	TX

General Provider Information

NPI Number	:	1346244381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGMA GLOBAL CORPORATION

Provider Business Mailing Address
First Line	:	4343 W ROYAL LN
Second Line	:	STE 118
City	:	IRVING
State	:	TX
Zip	:	75063-2299
Country	:	US
Telephone Number	:	972-915-3960
Fax Number	:	972-767-0702

Provider Business Practice Location Address
First Line	:	4343 W ROYAL LN
Second Line	:	STE 118
City	:	IRVING
State	:	TX
Zip	:	75063-2299
Country	:	US
Telephone Number	:	972-915-3960
Fax Number	:	972-767-0702

Authorized Official
Title or Position	:	CFO
Name	:	MARTIN BLAKE DEATHERAGE
Credential	:
Telephone Number	:	472-915-3960

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	08/22/2020

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