Provider Demographics
NPI:1740290477
Name:RIGGS, TERI (DC, BSN)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:
Last Name:RIGGS
Suffix:
Gender:F
Credentials:DC, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2887
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-2887
Mailing Address - Country:US
Mailing Address - Phone:972-881-7272
Mailing Address - Fax:972-516-0005
Practice Address - Street 1:730 E PARK BLVD
Practice Address - Street 2:STE. 206
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5451
Practice Address - Country:US
Practice Address - Phone:972-881-7272
Practice Address - Fax:972-516-0005
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F21182Medicare PIN
U27809Medicare UPIN
TX603551Medicare PIN