| Organization Name: | TOMAS E. VIGO PAREDES PLLC |
| NPI Number: | 1700196615 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOMAS E. VIGO PAREDES (OWNER) |
| Mailing Address: | 40 Shae Ave Chapmanville |
| State: | WV US |
| Postal Code: | 255089805 |
| Phone Number: | 3048552211 |
| Fax Number: | 3048552213 |
| NPI Enumeration Date: | 10/13/2010 |
| NPI Last Update Date: | 04/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 17682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |