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Organization
TERRY S WIGGINS MD PA
Active
Organization
TERRY S WIGGINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SHORTINO (ADMINISTRATOR)
(512) 784-0997
Entity
Organization
Contact information
Practice address
2712 BEECAVE RD, SUITE 122, AUSTIN, TX 78746-5662
(512) 328-2752
(512) 328-2751
Mailing address
2765 BEE CAVES RD STE 201, SUITE 201, AUSTIN, TX 78746-5640
(512) 328-2752
(512) 328-2751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2940
TX
Other
Enumeration date
04/29/2008
Last updated
05/08/2012
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