MEDICARE: WILLIAM LEE RIGGS M. D.

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	207W00000X	Ophthalmology Physician	M3711	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M3711	OTHER	TX	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1538193230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LEE RIGGS M. D.

Provider Business Mailing Address
First Line	:	2401 S 31ST ST
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76508-0001
Country	:	US
Telephone Number	:	254-724-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 SAGEBRIAR DR
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-6107
Country	:	US
Telephone Number	:	979-774-0498
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	09/23/2020

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