Individual
RYAN T HIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7515 QUAKER AVE, SUITE 200, LUBBOCK, TX 79424-5308
(806) 792-6291
(806) 792-6329
Mailing address
7515 QUAKER AVE, SUITE 200, LUBBOCK, TX 79424-5308
(806) 792-6291
(806) 792-6329
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
26386
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DDS5976
OK
Other
Enumeration date
06/29/2007
Last updated
03/31/2016
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