MEDICARE: DR. LAWRENCE SHEPARD HIGGINS M.D.

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	207R00000X	Internal Medicine Physician	D3772	TX

General Provider Information

NPI Number	:	1699961524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE SHEPARD HIGGINS M.D.

Provider Business Mailing Address
First Line	:	5805 CALLAGHAN RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1128
Country	:	US
Telephone Number	:	210-317-2688
Fax Number	:	210-521-8561

Provider Business Practice Location Address
First Line	:	5805 CALLAGHAN RD
Second Line	:	SUITE 100
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1128
Country	:	US
Telephone Number	:	210-317-2688
Fax Number	:	210-521-8561

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

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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