MEDICARE: MRS. MARIA HIGGINS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	120262	TX

General Provider Information

NPI Number	:	1134643521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA HIGGINS CCC-SLP

Provider Business Mailing Address
First Line	:	198 CALLE LARGO
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-8778
Country	:	US
Telephone Number	:	512-757-3925
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 UHLAND RD STE 112
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-6681
Country	:	US
Telephone Number	:	512-396-0872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2017
Last Update Date	:	02/24/2025

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