Provider Demographics
NPI:1548419120
Name:KEITH D RIGSBY, MD, PA
Entity Type:Organization
Organization Name:KEITH D RIGSBY, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:D
Authorized Official - Last Name:RIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-334-2190
Mailing Address - Street 1:9603 WHITE ROCK TRAIL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-5039
Mailing Address - Country:US
Mailing Address - Phone:972-644-8577
Mailing Address - Fax:972-644-8056
Practice Address - Street 1:4105 GREENWOOD WAY
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5563
Practice Address - Country:US
Practice Address - Phone:214-334-2190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty