Organization
DUSTIN DWIGGINS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN DWIGGINS (MD)
(512) 548-5373
Entity
Organization
Contact information
Practice address
12701 W STATE HIGHWAY 29 STE 5, LIBERTY HILL, TX 78642-6348
(512) 548-5373
(512) 548-5374
Mailing address
1703 SANCHEZ ST APT 1, AUSTIN, TX 78702-1642
(512) 548-5373
(512) 548-5374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487071742
NPI
TX
Enumeration date
03/04/2020
Last updated
03/04/2020
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