Provider Demographics
NPI:1003915596
Name:HIGGINS, PATRICIA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:BOGATA
Mailing Address - State:TX
Mailing Address - Zip Code:75417-2769
Mailing Address - Country:US
Mailing Address - Phone:903-577-2273
Mailing Address - Fax:903-632-0292
Practice Address - Street 1:250 MT. PLEASANT RD
Practice Address - Street 2:
Practice Address - City:BOGATA
Practice Address - State:TX
Practice Address - Zip Code:75417
Practice Address - Country:US
Practice Address - Phone:903-632-0111
Practice Address - Fax:903-632-0292
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595120363LF0000X, 207P00000X
TXAP108733363LF0000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000000Medicaid