MEDICARE: JUAN SYGAL, M.D., P.A.

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	207R00000X	Internal Medicine Physician	K4582	TX

General Provider Information

NPI Number	:	1699730820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUAN SYGAL, M.D., P.A.

Provider Business Mailing Address
First Line	:	343 W AVENUE J
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-2207
Country	:	US
Telephone Number	:	361-767-8956
Fax Number	:	361-387-1352

Provider Business Practice Location Address
First Line	:	343 W AVENUE J
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-2207
Country	:	US
Telephone Number	:	361-767-8956
Fax Number	:	361-387-1352

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	JUAN J SYGAL
Credential	:	M.D.
Telephone Number	:	361-767-8956

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

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