Shane Higginbotham Md Pa in Malvern - Physician Assistant
Shane Higginbotham Md Pa - NPI 1033129713
Shane Higginbotham Md Pa is a Physician Assistant in Malvern, Arkansas. Shane Higginbotham Md Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shane Higginbotham Md Pa is 1033129713. The last update date is 2021-05-06.
Shane Higginbotham Md Pa's current location address is 1002 Schneider Dr, Malvern, Arkansas. You can contact this provider via phone number 5013327981 and fax number 5013379964. The mailing address for Shane Higginbotham Md Pa is 1002 Schneider Dr, Malvern, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shane Higginbotham Md Pa |
---|---|
Address | 1002 Schneider Dr, Malvern, Arkansas |
Phone Number | 5013327981 |
Fax Number | 5013379964 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
---|---|
Authorized Official Name | Overton Kim |
Telephone Number | 5013379994 |
NPI Number Detail
NPI Number | 1033129713 |
---|---|
Provider Enumeration Date | 2006-08-08 |
Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
Address | 1002 Schneider Dr |
---|---|
City | Malvern |
State | Arkansas (AR) |
Post Code | 721044816 |
Phone Number | 5013327981 |
Fax Number | 5013379964 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | PA251 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
205795002 | AR | -- |
Post Comment/ Review Below
What is the Shane Higginbotham Md Pa's unique identification number?
The Shane Higginbotham Md Pa has been assigned the NPI (National Provider Identifier) Number 1033129713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Shane Higginbotham Md Pa is physically located?
The Shane Higginbotham Md Pa is physically situated at the following address: 1002 Schneider Dr, Malvern, AR, 721044816.
What is Shane Higginbotham Md Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Higginbotham Md Pa is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When was the Shane Higginbotham Md Pa's 1033129713 issued?
The Shane Higginbotham Md Pa's 1033129713 was issued on 2006-08-08.
As of what date were the Shane Higginbotham Md Pa's details last updated?
The information pertaining to the Shane Higginbotham Md Pa, including its address, specialty, and other details, was most recently updated on 2021-05-06.