Healthcare Provider Details

I. General information

NPI: 1194727164
Provider Name (Legal Business Name): JAMES RAY HIGGINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7912 E 31ST CT SUITE 320
TULSA OK
74145-1305
US

IV. Provider business mailing address

7912 E 31ST CT SUITE 320
TULSA OK
74145-1305
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 TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number15552
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number15552
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number15552
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: