Healthcare Provider Details

I. General information

NPI: 1629685557
Provider Name (Legal Business Name): HIGHLAND GYNECOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 ANTILLEY RD STE 350
ABILENE TX
79606-5266
US

IV. Provider business mailing address

4400 BUFFALO GAP RD STE 2400C
ABILENE TX
79606-2723
US

V. Phone/Fax

Practice location:
  • Phone: 325-704-5200
  • Fax:
Mailing address:
  • Phone: 253-695-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHAEL HAVERLAND
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 325-665-1643