Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1672 | TX |
N | 213ES0131X | Foot Surgery | 1672 | TX |
NPI | 1548373731 |
---|---|
Provider Name | Dr. Eric Larry Higgins |
First Address | Dumas, TX 79029-3808 |
Second Address | Dumas, TX 79029-3806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 20/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0084KM | BLUECROSS BLUESHIELD (01) | TX |
163621901 | (05) | TX |
163621902 | (05) | TX |
U93578 | (02) | TX |