Provider Demographics
NPI:1437304243
Name:HIGGS, CARSON PAUL (MD)
Entity Type:Individual
Prefix:
First Name:CARSON
Middle Name:PAUL
Last Name:HIGGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 SETON CENTER PKWY
Mailing Address - Street 2:SUITE 215 - CREDENTIALING
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5290
Mailing Address - Country:US
Mailing Address - Phone:512-407-8686
Mailing Address - Fax:512-406-6216
Practice Address - Street 1:4515 SETON CENTER PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5290
Practice Address - Country:US
Practice Address - Phone:512-338-8388
Practice Address - Fax:512-406-6274
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0832207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201171004Medicaid
TX201171003Medicaid
TX201171002Medicaid
TX201171005Medicaid
TX445469YKXYMedicare PIN
TXP01137349Medicare PIN
TX201171004Medicaid