Provider Demographics
NPI:1023209525
Name:HIGGINS, KIM ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:ELIZABETH
Last Name:HIGGINS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1305 W MAGNOLIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4351
Mailing Address - Country:US
Mailing Address - Phone:817-522-1530
Mailing Address - Fax:181-752-3866
Practice Address - Street 1:1305 W MAGNOLIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4351
Practice Address - Country:US
Practice Address - Phone:817-522-1530
Practice Address - Fax:888-831-3527
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2015-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN4471207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine