Provider Demographics
NPI:1932154101
Name:ALMA S. RIGONAN, MD, PA
Entity Type:Organization
Organization Name:ALMA S. RIGONAN, MD, PA
Other - Org Name:CORPUS CHRISTI ALLERGY ASTHMA DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RIGONAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-888-6782
Mailing Address - Street 1:3314 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1821
Mailing Address - Country:US
Mailing Address - Phone:361-888-6782
Mailing Address - Fax:361-888-6788
Practice Address - Street 1:3318 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1821
Practice Address - Country:US
Practice Address - Phone:361-888-6782
Practice Address - Fax:361-888-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2584207K00000X, 207N00000X, 208000000X
207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX378049601Medicaid
DX7704OtherMEDICARE RC
TX378049602OtherMEDICAID THSTEPS
595539OtherMEDICARE PIN
TX085113104OtherMEDICAID THSTEPS