Provider Demographics
NPI:1174836233
Name:ALEJANDRO N BUGNONE MD, P.A.
Entity Type:Organization
Organization Name:ALEJANDRO N BUGNONE MD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUGNONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-930-8890
Mailing Address - Street 1:12727 FEATHERWOOD DR STE 119
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4908
Mailing Address - Country:US
Mailing Address - Phone:832-930-8890
Mailing Address - Fax:713-929-3526
Practice Address - Street 1:12727 FEATHERWOOD DR STE 119
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4908
Practice Address - Country:US
Practice Address - Phone:832-930-8890
Practice Address - Fax:713-929-3526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM85652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB104828Medicare PIN