Provider Demographics
NPI:1942461926
Name:JACKSON T. BIGGS, M.D., P.A.
Entity Type:Organization
Organization Name:JACKSON T. BIGGS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:T
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-798-5168
Mailing Address - Street 1:161 LAY ST
Mailing Address - Street 2:
Mailing Address - City:HALLETTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77964-3519
Mailing Address - Country:US
Mailing Address - Phone:361-798-5168
Mailing Address - Fax:
Practice Address - Street 1:161 LAY ST
Practice Address - Street 2:
Practice Address - City:HALLETTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77964-3519
Practice Address - Country:US
Practice Address - Phone:361-798-5168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-22
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE95412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB115756Medicare Oscar/Certification