Individual
DUSTIN DWIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549
(254) 526-7523
Mailing address
1703 SANCHEZ ST # 1, AUSTIN, TX 78702-1642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0709
TX
Other
Enumeration date
03/25/2014
Last updated
09/07/2018
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