Healthcare Provider Details

I. General information

NPI: 1245337252
Provider Name (Legal Business Name): JAMES R. HIGGINS, M.D.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7912 E 31ST CT SUITE 320
TULSA OK
74145-1315
US

IV. Provider business mailing address

7912 E 31ST CT SUITE 320
TULSA OK
74145-1315
US

V. Phone/Fax

Practice location:
  • Phone: 918-496-8499
  • Fax: 918-496-0152
Mailing address:
  • Phone: 918-496-8499
  • Fax: 918-496-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number15552
License Number StateOK

VIII. Authorized Official

Name: DR. JAMES R HIGGINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 918-496-8499