MEDICARE: JIM RIGGINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	00218	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245224799
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JIM RIGGINS

Provider Business Mailing Address
First Line	:	101 JANE LN
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-2673
Country	:	US
Telephone Number	:	254-582-5363
Fax Number	:	254-582-7429

Provider Business Practice Location Address
First Line	:	101 JANE LN
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-2673
Country	:	US
Telephone Number	:	254-582-5363
Fax Number	:	254-582-7429

Authorized Official
Title or Position	:	OWNER
Name	:	MISS JIM RIGGINS
Credential	:	R.PH.
Telephone Number	:	254-582-5363

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	08/22/2020

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Directions to “JIM RIGGINS ” Practice Location

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