Provider Demographics
NPI:1659183564
Name:PASQUIL, ANTONETTE MARIE LIGO
Entity type:Individual
Prefix:
First Name:ANTONETTE MARIE
Middle Name:LIGO
Last Name:PASQUIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3414 RIVERSIDE GLEN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2595
Mailing Address - Country:US
Mailing Address - Phone:346-669-4817
Mailing Address - Fax:702-745-0675
Practice Address - Street 1:9212 FRY RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5488
Practice Address - Country:US
Practice Address - Phone:281-845-8454
Practice Address - Fax:575-205-0462
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1187101363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty