Provider Demographics
NPI:1194727164
Name:HIGGINS, JAMES RAY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAY
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7912 E 31ST CT
Mailing Address - Street 2:SUITE 320
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-1305
Mailing Address - Country:US
Mailing Address - Phone:918-496-8499
Mailing Address - Fax:918-496-0152
Practice Address - Street 1:7912 E 31ST CT
Practice Address - Street 2:SUITE 320
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1305
Practice Address - Country:US
Practice Address - Phone:918-496-8499
Practice Address - Fax:918-496-0152
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15552207RC0000X, 207RC0001X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Not Answered207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD34792Medicare UPIN