Provider Demographics
NPI:1003882093
Name:PIGA, SAMUEL AFENIR (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:AFENIR
Last Name:PIGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 W 15TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7700
Mailing Address - Country:US
Mailing Address - Phone:469-467-9755
Mailing Address - Fax:972-801-9917
Practice Address - Street 1:3105 W 15TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7700
Practice Address - Country:US
Practice Address - Phone:469-467-9755
Practice Address - Fax:972-801-9917
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1904207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25507Medicare UPIN
TX00KN19Medicare ID - Type Unspecified