MEDICARE: JOHN H RIGGS III

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	111N00000X	Chiropractor	7185	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	:	1548261233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN H RIGGS III

Provider Business Mailing Address
First Line	:	4610 N GARFIELD ST STE B4
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79705-2652
Country	:	US
Telephone Number	:	432-570-8792
Fax Number	:	432-686-3931

Provider Business Practice Location Address
First Line	:	4610 N GARFIELD B4
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79705-6614
Country	:	US
Telephone Number	:	432-570-8792
Fax Number	:	432-686-3931

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	07/17/2012

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