Individual provider Active NPI

David Tigtig, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1114379831
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131364 Issued in TX
Practice address
920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380
Phone
(832) 562-3974
Fax
(832) 663-9378
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131364 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380

Mailing address

920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380-3204
Phone (832) 562-3974

Other identifiers 1

IdentifierTypeStateIssuer
AP131364OtherTXNURSE PRACTITIONER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915000528 TX Practitioner - Nurse Practitioner 9032405345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131364TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Afzal, MD PA Family CurrentSince Oct 8, 2018 Accepting new patients
Physician Partnership Solutions PLLC PastSince Sep 5, 2023 Accepting new patients

Locations

100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680

116 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (832) 813-8074

116 Medical Park Ln
Ste A2
Huntsville, TX 77340
Phone (936) 441-9680

129 Vision Park Blvd
Ste 306
Shenandoah, TX 77384
Phone (936) 256-3883

Interoperability endpoints

  • Direct secure messaging: david.tigtig@hhcardio.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1114379831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 520",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803204",
            "telephone_number": "832-562-3974",
            "fax_number": "832-663-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 520",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "832-562-3974",
            "fax_number": "832-663-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGTIG",
        "first_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENSE",
            "identifier": "AP131364",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.