Provider Demographics
NPI:1437416369
Name:DRUMMOND, VIRGINIE N (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIE
Middle Name:N
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIRGINIE
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1401 MEDICAL PKWY STE 419
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5015
Mailing Address - Country:US
Mailing Address - Phone:512-528-7385
Mailing Address - Fax:512-528-7386
Practice Address - Street 1:1401 MEDICAL PKWY STE 207
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-339-6626
Practice Address - Fax:512-425-3809
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-38926207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201140650AMedicaid
KS110296021Medicare PIN