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NPI Code Detail

MEDICARE: DR. JACOB PATRICK VIGIL MD

MEDICARE: DR. JACOB PATRICK VIGIL 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
1207P00000XEmergency Medicine PhysicianJ5046TX
2207P00000XEmergency Medicine PhysicianMD.205532LA

General Provider Information

NPI Number : 1801893821
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB PATRICK VIGIL MD
Provider Business Mailing Address
First Line : 7005 SAN MARINO DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-1507
Country : US
Telephone Number : 915-842-0523
Fax Number :
Provider Business Practice Location Address
First Line : 2001 N OREGON ST
Second Line :
City : EL PASO
State : TX
Zip : 79902-3320
Country : US
Telephone Number : 915-577-6551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 01/22/2026

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Directions to “ DR. JACOB PATRICK VIGIL MD” Practice Location

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