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NPI Code Detail

MEDICARE: LISA MARIE HIGGS FNP

MEDICARE: LISA MARIE HIGGS FNP
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
1363LF0000XFamily Nurse PractitionerAP128410TX

General Provider Information

NPI Number : 1508234105
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE HIGGS FNP
Provider Business Mailing Address
First Line : 1363 RED TOWN RD
Second Line :
City : ELGIN
State : TX
Zip : 78621-6542
Country : US
Telephone Number : 512-285-9478
Fax Number :
Provider Business Practice Location Address
First Line : 3724 EXECUTIVE CENTER DR
Second Line : STE 230
City : AUSTIN
State : TX
Zip : 78731-1646
Country : US
Telephone Number : 512-452-2100
Fax Number : 855-346-7410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2015
Last Update Date : 09/13/2015

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