Individual
JEFFREY N HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W 38TH ST STE D4, AUSTIN, TX 78705-1131
(512) 244-4272
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
N0831
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
N0831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286184102
—
TX
Enumeration date
05/02/2007
Last updated
04/13/2021
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