Provider Demographics
NPI:1285026401
Name:HIGGINS, LAURE (APRN, CPNP-AC/PC)
Entity Type:Individual
Prefix:
First Name:LAURE
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:APRN, CPNP-AC/PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 MEDICAL DISTRICT DR STE 210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-8075
Mailing Address - Country:US
Mailing Address - Phone:214-867-6900
Mailing Address - Fax:214-867-5635
Practice Address - Street 1:2222 MEDICAL DISTRICT DR STE 210
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-8075
Practice Address - Country:US
Practice Address - Phone:214-867-6900
Practice Address - Fax:214-867-5635
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126777363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics