TERRY S WIGGINS MD PA
Marriage and Family Therapists at Beecave Rd, Austin, TX

License number
Texas E2940
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: ELIZABETH SHORTINO
Title: ADMINISTRATOR
Phone: (512) 784-0997
Address
Address
2712 Bee Cave Rd SUITE 122, Austin, TX 78746
National Provider ID: 1831364892
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TERRY S. WIGGINS, M.D., PA

Austin, TX

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 10, 2001
Addresses:
2765 Bee Caves Rd STE 201, Austin, TX 78746 (Mailing)
2712 Bee Cave Rd, Austin, TX 78746
State ID:
0082314603
Business type:
Professional Association
President , Director , Member:
Terry S. Wiggins President , Director , Member, inactive
TIN:
32035981912

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