Basic Information
| Provider Information | |||||||||
| NPI: | 1952359622 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIGSBY | ||||||||
| FirstName: | KEITH | ||||||||
| MiddleName: | DOUGLAS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 990 HIGHWAY 287 N | ||||||||
| Address2: | SUITE 106-325 | ||||||||
| City: | MANSFIELD | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760632607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143342190 | ||||||||
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| Practice Location | |||||||||
| Address1: | 601 S CLAY ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ENNIS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751195771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728756600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 08/16/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | M1320 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8W7175 | 01 | TX | BCBS | OTHER | 183589401 | 05 | TX | MEDICAID | 183589403 | 05 | TX | MEDICAID |