Provider Demographics
NPI:1720099013
Name:DIGGS, RODERICK PETER III (MD)
Entity Type:Individual
Prefix:
First Name:RODERICK
Middle Name:PETER
Last Name:DIGGS
Suffix:III
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 1:4301 GARTH RD STE 212
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3158
Mailing Address - Country:US
Mailing Address - Phone:281-886-7566
Mailing Address - Fax:281-520-3515
Practice Address - Street 1:4301 GARTH RD STE 212
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3158
Practice Address - Country:US
Practice Address - Phone:281-886-7566
Practice Address - Fax:281-520-3515
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7143207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159990402Medicaid
TX159990404Medicaid
TX8X9050OtherBLUE CROSS BLUE SHIELD
TX159990402Medicaid