Provider Demographics
NPI:1104956879
Name:BIGGERS, JEREL RAYMOND (DO)
Entity type:Individual
Prefix:DR
First Name:JEREL
Middle Name:RAYMOND
Last Name:BIGGERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6709 MEADOW CREST DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6669
Mailing Address - Country:US
Mailing Address - Phone:817-498-7788
Mailing Address - Fax:817-849-1011
Practice Address - Street 1:6709 MEADOW CREST DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6669
Practice Address - Country:US
Practice Address - Phone:817-498-7788
Practice Address - Fax:817-849-1011
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD83790Medicare UPIN