Gary A Tigges M D P A | |
6300 W Parker Rd # 220 Plano TX 75093-8168 | |
(972) 981-8215 | |
(972) 981-8038 |
Full Name | Gary A Tigges M D P A |
---|---|
Speciality | Internal Medicine |
Location | 6300 W Parker Rd, Plano, Texas |
Authorized Official Name and Position | Lisa Prater (PRACTICE MANAGER) |
Authorized Official Contact | 9729818345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gary A Tigges M D P A 6300 W Parker Rd # 220 Plano TX 75093-8168 Ph: (972) 981-8215 | Gary A Tigges M D P A 6300 W Parker Rd # 220 Plano TX 75093-8168 Ph: (972) 981-8215 |
NPI Number | 1639363542 |
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Provider Enumeration Date | 09/04/2007 |
Last Update Date | 07/03/2008 |
Medicare PECOS PAC ID | 3173567666 |
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Medicare Enrollment ID | O20050615000672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639363542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J4563 (Texas) | Primary |
Provider Name | Gary A Tigges |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275576779 PECOS PAC ID: 1456349307 Enrollment ID: I20040617001083 |
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