Individual
LORYN ALEXIS HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7005 WOODWAY DR STE 203, WACO, TX 76712-6162
(254) 379-9299
Mailing address
2100 S NEW RD APT 1212, WACO, TX 76711-1828
(806) 281-7868
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17078
TX
Other
Enumeration date
08/30/2023
Last updated
09/05/2023
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