Healthcare Provider Details

I. General information

NPI: 1215641907
Provider Name (Legal Business Name): FAMILY HEALTH CARE GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1464 E WHITESTONE BLVD STE 1101
CEDAR PARK TX
78613-9070
US

IV. Provider business mailing address

1464 E WHITESTONE BLVD STE 1101
CEDAR PARK TX
78613-9070
US

V. Phone/Fax

Practice location:
  • Phone: 512-309-8925
  • Fax:
Mailing address:
  • Phone: 512-309-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HENRY HIGGINS
Title or Position: CEO
Credential: MD
Phone: 512-260-2732