Provider Demographics
NPI:1538130067
Name:HIGGS, JAY BRENT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:BRENT
Last Name:HIGGS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-0797
Mailing Address - Fax:210-916-5222
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:SAMMC MCHE MDR
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-916-0797
Practice Address - Fax:210-916-5222
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG1434207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1213500072OtherMEDICARE TRACKING NUMBER