Provider Demographics
NPI:1932301595
Name:HIGGINS FAMILY CLINIC, P.C.
Entity Type:Organization
Organization Name:HIGGINS FAMILY CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:903-652-2684
Mailing Address - Street 1:PO BOX 757
Mailing Address - Street 2:
Mailing Address - City:BOGATA
Mailing Address - State:TX
Mailing Address - Zip Code:75417-0757
Mailing Address - Country:US
Mailing Address - Phone:902-632-0111
Mailing Address - Fax:903-632-0292
Practice Address - Street 1:250 MOUNT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:BOGATA
Practice Address - State:TX
Practice Address - Zip Code:75417-2769
Practice Address - Country:US
Practice Address - Phone:903-632-0111
Practice Address - Fax:903-632-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty