Provider Demographics
NPI:1952122913
Name:HIGGINS, RACHEL ELAINE (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELAINE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELAINE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, LD
Mailing Address - Street 1:21145 SPRING PLAZA DR APT 2202
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-1442
Mailing Address - Country:US
Mailing Address - Phone:832-472-0884
Mailing Address - Fax:
Practice Address - Street 1:21145 SPRING PLAZA DR APT 2202
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-1442
Practice Address - Country:US
Practice Address - Phone:832-472-0884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86091813133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered