Individual
MR. RICKY GLEN WIGGINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2525 E ABRAM ST, ARLINGTON, TX 76010-1346
(817) 652-2269
Mailing address
PO BOX 494, EDDY, TX 76524-0494
(254) 931-7655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2493
TX
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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