Individual
DR. JACKSON T. BIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 LAY ST, HALLETTSVILLE, TX 77964-3519
(361) 798-5168
Mailing address
161 LAY ST, HALLETTSVILLE, TX 77964-3519
(361) 798-5168
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E9541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003JT
BLUE CROSS BLUE SHIELD
TX
05
—
144710401
—
TX
01
—
760129220
COMMERCIAL
TX
01
—
76012922077964A001
TRICARE
TX
01
—
B21268
OTHER GROUP ID
TX
01
—
E9541
UNICARE CLASSIC
TX
Enumeration date
06/20/2005
Last updated
12/05/2011
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