Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 595120 | TX |
N | 207P00000X | Emergency Physician | AP108733 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 595120 | TX |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP108733 | TX |
NPI | 1003915596 |
---|---|
Provider Name | Patricia Higgins |
First Address | Bogata, TX 75417 |
Second Address | Bogata, TX 75417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 27/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000000 | (05) | TX |
S55946 | (02) | TX |