Higginbotham Family Clinic
LBN: Shane Higginbotham Md Pa
Higginbotham Family Clinic is an health care organization with primary practice located at 1002 Schneider Dr Suite 104, Malvern AR 72104-4816. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Shane Higginbotham Md Pa can be contacted via phone (501) 332-7981, or through Overton, Kim via phone (501) 337-9994.
Contact Information
Primary practice address
1002 Schneider Dr Suite 104
Malvern AR 72104-4816
Phone: (501) 332-7981
Fax: (501) 337-9964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E0968 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA251 | Arkansas |
Profile Details
| NPI number | 1033129713 |
|---|---|
| LBN Legal business name | Shane Higginbotham Md Pa |
| DBA Doing business as | Higginbotham Family Clinic |
| Authorized official | Overton, Kim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | May 6th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033129713 | NPPES |
| Arkansas | MEDICAID | 205795002 |
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