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NPI Code Detail

MEDICARE: MARLEE GOLDBACH HIGGINS APRN, PNP-AC

MEDICARE: MARLEE GOLDBACH HIGGINS APRN, PNP-AC
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
1163W00000XRegistered Nurse906352TX
2363LP0222XCritical Care Pediatric Nurse Practitioner1016742TX

General Provider Information

NPI Number : 1578135554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLEE GOLDBACH HIGGINS APRN, PNP-AC
Provider Business Mailing Address
First Line : 1826 SALFORD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-704-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2021
Last Update Date : 07/11/2021

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