Provider Demographics
NPI:1477761369
Name:BUGNONE, ALEJANDRO N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:N
Last Name:BUGNONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:429 UMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-627-2508
Mailing Address - Fax:956-627-3751
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME884932085R0202X
TXM85652085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM8565OtherLICENSES
TXTXB104829Medicaid