| Wiggins-worthy Wellness Pllc | |
|
607 N Main St. Big Spring TX 79720 | |
| (432) 816-1808 | |
| Not Available |
| Full Name | Wiggins-worthy Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 N Main St., Big Spring, Texas |
| Authorized Official Name and Position | Michelle Lee Wiggins-worthy (OWNER) |
| Authorized Official Contact | 4322689152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiggins-worthy Wellness Pllc 900 Mountain Park Dr Big Spring TX 79720-4110 Ph: () - | Wiggins-worthy Wellness Pllc 607 N Main St. Big Spring TX 79720 Ph: (432) 816-1808 |
| NPI Number | 1497202063 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 11/03/2016 |
| Medicare PECOS PAC ID | 4688953904 |
|---|---|
| Medicare Enrollment ID | O20161109001383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497202063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP131710 (Texas) | Primary |
| Provider Name | Michelle Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619965647 PECOS PAC ID: 5597044818 Enrollment ID: I20161109001453 |
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