Provider Demographics
NPI:1891781134
Name:RANS-NIGRO, TONYA SUE (MD)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:SUE
Last Name:RANS-NIGRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:SUE
Other - Last Name:RANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12103 WELLSTONE RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3915
Mailing Address - Country:US
Mailing Address - Phone:210-265-5671
Mailing Address - Fax:
Practice Address - Street 1:759 MDOS/MMIA
Practice Address - Street 2:LACKLAND AFB
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78236
Practice Address - Country:US
Practice Address - Phone:210-292-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024384208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics