MEDICARE: PATRICIA HIGGINS FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	595120	TX
2	363LF0000X	Family Nurse Practitioner	AP108733	TX
3	207P00000X	Emergency Medicine Physician	AP108733	TX
4	207P00000X	Emergency Medicine Physician	595120	TX

General Provider Information

NPI Number	:	1003915596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA HIGGINS FNP-BC

Provider Business Mailing Address
First Line	:	250 MOUNT PLEASANT RD
Second Line	:
City	:	BOGATA
State	:	TX
Zip	:	75417-2769
Country	:	US
Telephone Number	:	903-577-2273
Fax Number	:	903-632-0292

Provider Business Practice Location Address
First Line	:	250 MT. PLEASANT RD
Second Line	:
City	:	BOGATA
State	:	TX
Zip	:	75417
Country	:	US
Telephone Number	:	903-632-0111
Fax Number	:	903-632-0292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	11/11/2025

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