Doctor Name: | DR. RICHARD GLENN HIGGINBOTHAM |
NPI Number: | 1023252921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D,C. |
License Number: | 8047 |
Business Practice Address: | 190 E Stacy Rd Suite 1614 Allen, TX - 750028734 |
Business Phone Number: | 9726783080 |
Business Fax Number: | 9726783083 |
Mailing Address: | Po Box 677662, DALLAS |
State: | TX |
Postal Code: | 752677662 |
Phone Number: | 6304681824 |
Fax Number: | 6307011007 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 8047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |