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NPI Code Detail

MEDICARE: MR. TODD JAY BRIGGS PA-C

MEDICARE:  MR. TODD JAY BRIGGS  PA-C
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
1363A00000XPhysician AssistantPA02863TX
2363AS0400XSurgical Physician AssistantPA02863TX

General Provider Information

NPI Number : 1396742607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD JAY BRIGGS PA-C
Provider Business Mailing Address
First Line : 3532 CANONCITA LN
Second Line :
City : PLANO
State : TX
Zip : 75023-6104
Country : US
Telephone Number : 972-256-6644
Fax Number :
Provider Business Practice Location Address
First Line : 3532 CANONCITA LN
Second Line :
City : PLANO
State : TX
Zip : 75023-6104
Country : US
Telephone Number : 972-256-6644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 06/23/2015

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Directions to “ MR. TODD JAY BRIGGS PA-C” Practice Location

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