Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 15552 | OK |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 15552 | OK |
N | 207RI0011X | Interventional Cardiology | 15552 | OK |
NPI | 1194727164 |
---|---|
Provider Name | Dr. James Ray Higgins |
First Address | Tulsa, OK 74145-1305 |
Second Address | Tulsa, OK 74145-1305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D34792 | (02) | OK |