MEDICARE: MR. ROBERT WARREN HIGGINS LPC

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	101YP2500X	Professional Counselor	12301	TX

General Provider Information

NPI Number	:	1366540015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WARREN HIGGINS LPC

Provider Business Mailing Address
First Line	:	500 CHESTNUT ST
Second Line	:	SUITE 1275
City	:	ABILENE
State	:	TX
Zip	:	79602-1453
Country	:	US
Telephone Number	:	325-672-9106
Fax Number	:	325-672-9107

Provider Business Practice Location Address
First Line	:	500 CHESTNUT ST
Second Line	:	SUITE 1275
City	:	ABILENE
State	:	TX
Zip	:	79602-1453
Country	:	US
Telephone Number	:	325-672-9106
Fax Number	:	325-672-9107

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/03/2008

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