# DUSTIN DWIGGINS MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679108195
- **Authorized official:** DUSTIN DWIGGINS (MD)
- **Authorized official phone:** (512) 548-5373

## Contact information

- **Practice address:** 12701 W STATE HIGHWAY 29 STE 5, LIBERTY HILL, TX 78642-6348
- **Practice address phone:** (512) 548-5373
- **Practice address fax:** (512) 548-5374
- **Mailing address:** 1703 SANCHEZ ST APT 1, AUSTIN, TX 78702-1642
- **Mailing address phone:** (512) 548-5373
- **Mailing address fax:** (512) 548-5374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2020
- **Last updated:** 03/04/2020