Individual
CARL L HIGHGENBOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN, STE. C-106, DALLAS, TX 75230-2505
(972) 566-7874
(972) 566-8163
Mailing address
PO BOX 650500, DALLAS, TX 75265-0500
(214) 369-8555
(214) 369-2683
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E0493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123907105
—
TX
01
—
8A5017
BCBS
TX
Enumeration date
10/26/2005
Last updated
10/08/2008
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