Charles L Liggett Jr MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

F2324TX Issued in TX

Legal business name

CHARLES L LIGGETT JR MD PA

Practice address

101 Ave J
Anson, TX 79501-2113

Phone

(325) 823-3209

Fax

(325) 823-3600

NPI assigned

Dec 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Liggett Jr., MD PA

Title

Dr

Phone

(325) 823-3209

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1255600441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE J",
            "city": "ANSON",
            "state": "TX",
            "postal_code": "795012113",
            "telephone_number": "325-823-3209",
            "fax_number": "325-823-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE J",
            "city": "ANSON",
            "state": "TX",
            "postal_code": "795012113",
            "telephone_number": "325-823-3209",
            "fax_number": "325-823-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L LIGGETT JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "LIGGETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "325-823-3209",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2324TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CY181",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "207323101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anson Senior Living LLC
• Joyce Lynn Bevel, RPH
• Michelle Railyn Brewer, MPT
• Merridy Lynn Bryant, FNP-C
• Valorie Watters Cadoo, MFT
• City of Anson
• City of Anson
• City of Anson
• Philip Dodd, NP-C
• Amanda Kay English

• All providers in Anson, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.