MEDICARE: DR. REGINALD KEITH RIGGINS PHD

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	103TC0700X	Clinical Psychologist	38434	TX

General Provider Information

NPI Number	:	1649818550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINALD KEITH RIGGINS PHD

Provider Business Mailing Address
First Line	:	4212 SAN FELIPE ST # 118
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2902
Country	:	US
Telephone Number	:	713-487-5574
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 SAN FELIPE ST # 118
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-2902
Country	:	US
Telephone Number	:	713-487-5744
Fax Number	:

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

Provider Enumeration Date	:	12/11/2019
Last Update Date	:	12/19/2025

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