Individual
MR. THOMAS MICHAEL HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
633 N CENTRAL AVE, SUITE 106, GLENDALE, CA 91203-1809
(818) 247-1234
(818) 247-4203
Mailing address
633 N CENTRAL AVE, SUITE 106, GLENDALE, CA 91203-1809
(818) 247-1234
(818) 247-4203
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU312
CA
231H00000X
Audiologist
Primary
HA2712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ958492
—
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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