Provider Demographics
NPI:1225115926
Name:BIGGERS, ANTHONY SHANE (DC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:SHANE
Last Name:BIGGERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2919 S GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3436
Mailing Address - Country:US
Mailing Address - Phone:806-374-0446
Mailing Address - Fax:806-374-4642
Practice Address - Street 1:2919 S GEORGIA ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3436
Practice Address - Country:US
Practice Address - Phone:806-374-0446
Practice Address - Fax:806-374-4642
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6410111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141601801Medicaid
TX141601801Medicaid
TX8318J0Medicare ID - Type Unspecified