Individual
GARY A TIGGES
Active
Individual
GARY A TIGGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R36Y
BCBS
TX
01
—
5384035
AETNA
TX
01
—
P00050670
RAILROAD MEDICARE
TX
Enumeration date
06/13/2006
Last updated
07/02/2008
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