Individual
DR. JACKSON T. BIGGS
Active
Individual
DR. JACKSON T. BIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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