Basic Information
| Provider Information | |||||||||
| NPI: | 1548419120 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KEITH D RIGSBY, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9603 WHITE ROCK TRAIL | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752385039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726448577 | ||||||||
| FaxNumber: | 9726448056 | ||||||||
| Practice Location | |||||||||
| Address1: | 4105 GREENWOOD WAY | ||||||||
| Address2: | |||||||||
| City: | MANSFIELD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760635563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143342190 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2008 | ||||||||
| LastUpdateDate: | 09/18/2008 | ||||||||
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| AuthorizedOfficialLastName: | RIGSBY | ||||||||
| AuthorizedOfficialFirstName: | KEITH | ||||||||
| AuthorizedOfficialMiddleName: | D | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2143342190 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | M1320 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.