1871772673 NPI number — BARBARA A HIGGINS O D P A

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871772673 NPI number — BARBARA A HIGGINS O D P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARA A HIGGINS O D P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TEXAS STATE OPTICAL #032
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871772673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12430 STATE HIGHWAY 249
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77086-3338
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-999-3131
Provider Business Mailing Address Fax Number:
281-999-3151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12430 STATE HIGHWAY 249
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77086-3338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-999-3131
Provider Business Practice Location Address Fax Number:
281-999-3151
Provider Enumeration Date:
10/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HIGGINS
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-999-3131

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  4020T , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 16037 . This is a "SPECTERA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: TX4020 . This is a "EYEMED" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: QMP000003344284 . This is a "MOLINA HEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 06013 . This is a "DAVIS VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 909514 . This is a "BLOCK VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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