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General NPI Number Information
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NPI Number | 1790930899
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Entity Type | Individual
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Provider Name | JOHN M. HIGGINBOTHAM DO
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Gender | Male
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1300 W TERRELL AVE STE K230
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City | FORT WORTH
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State | TX
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Zip | 76104-3104
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Country | US
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Telephone | 817-250-4906
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Fax |
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Provider Business Mailing Address
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Address Line | 12221 MERIT DRIVE SUITE 1500
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City | DALLAS
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State | TX
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Zip | 75251
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Country | US
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Telephone | 214-217-1900
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Fax | 940-627-7597
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | COPS245
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4470
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DO-06874
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 6389
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 21973
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License Number State | ND
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