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Individual

GARY A TIGGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6300 W PARKER RD, #220, PLANO, TX 75093-8168
(972) 981-8215
(972) 981-3099
Mailing address
6300 W PARKER RD, #220, PLANO, TX 75093-8100
(972) 981-8215

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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