Provider Demographics
NPI:1346703741
Name:VIGIL ANESTHESIA, PC
Entity Type:Organization
Organization Name:VIGIL ANESTHESIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIA PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COLLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, DNAP
Authorized Official - Phone:832-687-2791
Mailing Address - Street 1:21331 FALLS FROST DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1027
Mailing Address - Country:US
Mailing Address - Phone:713-545-9430
Mailing Address - Fax:
Practice Address - Street 1:20403 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4976
Practice Address - Country:US
Practice Address - Phone:832-981-3529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty