MEDICARE: MR. KEVIN R HIGGINS DPM

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	213E00000X	Podiatrist	0980	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588645352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN R HIGGINS DPM

Provider Business Mailing Address
First Line	:	8811 VILLAGE DR STE 150
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5415
Country	:	US
Telephone Number	:	210-657-2644
Fax Number	:	210-657-6834

Provider Business Practice Location Address
First Line	:	8811 VILLAGE DR STE 150
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5415
Country	:	US
Telephone Number	:	210-657-2644
Fax Number	:	210-657-6834

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	04/18/2018

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Directions to “ MR. KEVIN R HIGGINS DPM” Practice Location

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