Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE HIGGINBOTHAM MD PA
Active OrganizationSHANE HIGGINBOTHAM MD PA is a Family Medicine organization located in ROCKPORT, Arkansas. NPI 1104106426 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ROCKPORT, AR
Registration Details
- NPI Number
- 1104106426
- Provider Type
- Organization
- NPI Issued
- Aug 17, 2011 (14.988028640857 yrs)
- Last Updated
- Aug 2, 2023
- License
-
E0968 (AR)
Practice Information
- Address
-
1580 TANNER STROCKPORT, AR, 721042023Browse AR providers · Browse ZIP 72104
- Phone
- 5013379994
- Fax
- 5013379964
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.