1063497790 NPI number — RICHARD KIRK HIGGINS PA-C, MPAS

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 1063497790 NPI number — RICHARD KIRK HIGGINS PA-C, MPAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HIGGINS
Provider First Name:
RICHARD
Provider Middle Name:
KIRK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA-C, MPAS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1063497790
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 GARLINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOWIE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76230-4012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-841-0188
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1700 3RD ST
Provider Second Line Business Practice Location Address:
WICHITA FALLS EMPLOYEE FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
WICHITA FALLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76301-2113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-397-2550
Provider Business Practice Location Address Fax Number:
940-761-5162
Provider Enumeration Date:
12/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA02087 , 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)





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