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Individual

MR. KEVIN R HIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8811 VILLAGE DR STE 150, SAN ANTONIO, TX 78217-5415
(210) 657-2644
(210) 657-6834
Mailing address
8811 VILLAGE DR STE 150, SAN ANTONIO, TX 78217-5415
(210) 657-2644
(210) 657-6834

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0980
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092769101
TX
Enumeration date
11/09/2005
Last updated
04/18/2018
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