MEDICARE: DR. JAMES RAY HIGGINS M.D.

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	207RC0000X	Cardiovascular Disease Physician	15552	OK
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	15552	OK
3	207RI0011X	Interventional Cardiology Physician	15552	OK

General Provider Information

NPI Number	:	1194727164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RAY HIGGINS M.D.

Provider Business Mailing Address
First Line	:	7912 E 31ST CT
Second Line	:	SUITE 320
City	:	TULSA
State	:	OK
Zip	:	74145-1305
Country	:	US
Telephone Number	:	918-496-8499
Fax Number	:	918-496-0152

Provider Business Practice Location Address
First Line	:	7912 E 31ST CT
Second Line	:	SUITE 320
City	:	TULSA
State	:	OK
Zip	:	74145-1305
Country	:	US
Telephone Number	:	918-496-8499
Fax Number	:	918-496-0152

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/11/2025

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