MEDICARE: TEMICA WIGGINS

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	171M00000X	Case Manager/Care Coordinator	03792852	TX

General Provider Information

NPI Number	:	1336694678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMICA WIGGINS

Provider Business Mailing Address
First Line	:	4907 SPRING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75210-1360
Country	:	US
Telephone Number	:	469-245-7994
Fax Number	:

Provider Business Practice Location Address
First Line	:	4907 SPRING AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75210-1360
Country	:	US
Telephone Number	:	469-245-7994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2016
Last Update Date	:	08/16/2016

Similar Medicare Providers

1235337189 — RUPERT P PULIDO PHARMD
Practice Location Address:

4907 SPRING AVE STE 101
DALLAS, TX
75210-1360

Practice Phone: 214-565-8551
Practice Fax: 214-565-8541

1366680654 — MRS. DIANE JOYCE ALVARADO RRT, BAAS
Practice Location Address:

4907 SPRING AVE , SUITE 207
DALLAS, TX
75210-1360

Practice Phone: 214-915-9916
Practice Fax:

1750529046 — INFINITY PULMONARY SERVICES
Practice Location Address:

4907 SPRING AVE , SUITE 207
DALLAS, TX
75210-1360

Practice Phone: 214-915-9916
Practice Fax: 214-915-9909

1982931960 — SHANTA ANDERSON PHARMD
Practice Location Address:

4907 SPRING AVE STE 101
DALLAS, TX
75210-1360

Practice Phone: 214-565-8551
Practice Fax: 214-565-8541

1912252750 — CLEAN DENTAL OF DALLAS, P.C.
Practice Location Address:

4907 SPRING AVE
DALLAS, TX
75210-1360

Practice Phone: 214-765-6212
Practice Fax:

1306207725 — CLINTRICIA BAKER
Practice Location Address:

4907 SPRING AVENUE , SUITE 201
DALLAS, TX
75210-1360

Practice Phone: 972-370-6773
Practice Fax: 972-587-7105

Directions to “ TEMICA WIGGINS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.