MEDICARE: MARJORY G NIGRO 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	174400000X	Specialist	K7361	TX

General Provider Information

NPI Number	:	1992770234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORY G NIGRO MD

Provider Business Mailing Address
First Line	:	7700 SAN FELIPE ST
Second Line	:	STE 492
City	:	HOUSTON
State	:	TX
Zip	:	77063-1630
Country	:	US
Telephone Number	:	713-981-4444
Fax Number	:	713-981-5548

Provider Business Practice Location Address
First Line	:	7700 SAN FELIPE ST STE 492
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-1630
Country	:	US
Telephone Number	:	713-981-4444
Fax Number	:	713-981-5548

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	08/16/2023

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