Individual
DR. JENNY MARIE WIGGINS-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1615 HOSPITAL PKWY STE 300, BEDFORD, TX 76022-5936
(817) 554-0830
(817) 554-0831
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 481-2285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N1220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268158YKRY
MEDICARE
TX
05
—
313026201
—
TX
Enumeration date
08/15/2007
Last updated
08/15/2025
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