Healthcare Provider Details

I. General information

NPI: 1801291901
Provider Name (Legal Business Name): ANNE HIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2014
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 JEFFERSON AVE
TEXARKANA AR
71854-2183
US

IV. Provider business mailing address

8220 CLAIRE AVE
TEXARKANA TX
75503-5000
US

V. Phone/Fax

Practice location:
  • Phone: 870-773-7515
  • Fax:
Mailing address:
  • Phone: 903-748-0019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: