Provider Demographics
NPI:1972336170
Name:HIGGINBOTHAM HEARING, LLC
Entity type:Organization
Organization Name:HIGGINBOTHAM HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BC-HIS, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINBOTHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-777-3066
Mailing Address - Street 1:10932 NW EXPRESSWAY STE B-3
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8763
Mailing Address - Country:US
Mailing Address - Phone:405-777-3066
Mailing Address - Fax:888-527-1140
Practice Address - Street 1:10932 NW EXPRESSWAY STE B-3
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8763
Practice Address - Country:US
Practice Address - Phone:405-777-3066
Practice Address - Fax:888-527-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment