Provider Demographics
NPI:1235861329
Name:BIGBY, DARIUS
Entity Type:Individual
Prefix:
First Name:DARIUS
Middle Name:
Last Name:BIGBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 MEADOW OAKS DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6231
Mailing Address - Country:US
Mailing Address - Phone:318-955-8291
Mailing Address - Fax:
Practice Address - Street 1:3418 MEADOW OAKS DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-6231
Practice Address - Country:US
Practice Address - Phone:318-955-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult Companion