Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 10422 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 10422 | TX |
NPI | 1114101623 |
---|---|
Provider Name | Dr. Brian Mark Riggs |
First Address | Katy, TX 77449-6233 |
Second Address | Katy, TX 77449-6233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 11/11/2020 |