Provider Demographics
NPI:1336364611
Name:J H HIGUCHI M.D. P.A.
Entity Type:Organization
Organization Name:J H HIGUCHI M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUNJI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HIGUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-225-2341
Mailing Address - Street 1:1200 BROOKLYN AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4815
Mailing Address - Country:US
Mailing Address - Phone:210-225-2341
Mailing Address - Fax:210-225-4403
Practice Address - Street 1:1200 BROOKLYN AVE STE 380
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4815
Practice Address - Country:US
Practice Address - Phone:210-225-2341
Practice Address - Fax:210-225-4403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6810207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1407242118Medicaid
TX080964201Medicaid
TX00664KMedicare ID - Type Unspecified