Provider Demographics
NPI:1528471661
Name:HIGGINBOTHAM, RACHEL (AUD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:HIGGINBOTHAM
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28715 INTERSTATE 10 W
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-9112
Mailing Address - Country:US
Mailing Address - Phone:830-755-4327
Mailing Address - Fax:830-210-0299
Practice Address - Street 1:28715 INTERSTATE 10 W
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-9112
Practice Address - Country:US
Practice Address - Phone:830-755-4327
Practice Address - Fax:830-210-0299
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80671231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist