Provider Demographics
NPI:1699893396
Name:RIGGS, BRENDA J (MD)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:J
Last Name:RIGGS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3606 TALL OAK ST
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2301
Mailing Address - Country:US
Mailing Address - Phone:936-560-0482
Mailing Address - Fax:936-560-0482
Practice Address - Street 1:1204 N MOUND ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-4027
Practice Address - Country:US
Practice Address - Phone:936-568-8585
Practice Address - Fax:936-568-8587
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH6547207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine