Provider Demographics
NPI:1639101819
Name:BRIGGS, RAMBIE LE (MD)
Entity Type:Individual
Prefix:
First Name:RAMBIE
Middle Name:LE
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22017 REDBIRD DR
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645
Mailing Address - Country:US
Mailing Address - Phone:512-267-4832
Mailing Address - Fax:
Practice Address - Street 1:18649 FM 1431
Practice Address - Street 2:STE 12A JONESTOWN COMMUNITY HEALTH CENTER
Practice Address - City:JONESTOWN
Practice Address - State:TX
Practice Address - Zip Code:78645
Practice Address - Country:US
Practice Address - Phone:512-267-3256
Practice Address - Fax:512-267-2659
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3166207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C13759Medicare UPIN