Wiginton, Clark David

Wiginton, Clark David is an individual health care provider with primary practice located at 401 Cypress St Suite 110, Abilene TX 79601-5122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wiginton, Clark David can be contacted via phone (325) 677-2201.

Contact Information

Primary practice address
401 Cypress St Suite 110 Abilene TX 79601-5122
Phone: (325) 677-2201
Fax: (325) 677-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X BP1-0022835 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M8427 Texas

Profile Details

NPI number 1043414642
LBN Legal business name Wiginton, Clark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Mar 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043414642 NPPES
Texas MEDICAID 202920903
Texas Other 2776501934

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