Individual
MICHELE K. WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8524 HIGHWAY 6 N, # 339, HOUSTON, TX 77095-2103
(281) 345-2743
(281) 517-0044
Mailing address
PO BOX 1988, CYPRESS, TX 77410-1988
(281) 345-3743
(281) 517-0044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J6804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113306804
—
TX
Enumeration date
07/26/2005
Last updated
11/17/2010
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