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Organization

CHARLES L LIGGETT JR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES LIGGETT JR. MD PA (DR)
(325) 823-3209
Entity
Organization

Contact information

Practice address
101 AVE J, ANSON, TX 79501-2113
(325) 823-3209
(325) 823-3600
Mailing address
101 AVE J, ANSON, TX 79501-2113
(325) 823-3209
(325) 823-3600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F2324TX
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207323101
FIRSTCARE
TX
01
8CY181
BCBS
TX
Enumeration date
12/19/2011
Last updated
12/19/2011
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