Individual
TERRY WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 899-1525
Mailing address
1172 N CHEYENNE AVE, TULSA, OK 74106-4646
(918) 899-1525
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
M994280696
OK
Other
Enumeration date
12/15/2025
Last updated
12/23/2025
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