Healthcare Provider Details

I. General information

NPI: 1497681639
Provider Name (Legal Business Name): DR HIGGINS'S HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 S MAIN ST STE 220
FT WORTH TX
76104-2401
US

IV. Provider business mailing address

451 S MAIN ST STE 220
FT WORTH TX
76104-2401
US

V. Phone/Fax

Practice location:
  • Phone: 817-522-3292
  • Fax: 817-549-1694
Mailing address:
  • Phone: 817-522-3292
  • Fax: 817-549-1694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIM HIGGINS
Title or Position: OWNER
Credential: DO
Phone: 817-522-3292