Provider Demographics
NPI:1548373731
Name:HIGGINS, ERIC LARRY (DPM)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LARRY
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:DUMAS
Mailing Address - State:TX
Mailing Address - Zip Code:79029-3808
Mailing Address - Country:US
Mailing Address - Phone:806-934-9503
Mailing Address - Fax:806-934-1154
Practice Address - Street 1:212 S BLISS AVE
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:TX
Practice Address - Zip Code:79029-3806
Practice Address - Country:US
Practice Address - Phone:806-934-9503
Practice Address - Fax:806-934-1154
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1672213ES0131X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163621901Medicaid
TX0084KMOtherBLUECROSS BLUESHIELD
TX163621902Medicaid
TXTXB116145Medicare PIN
TXP00149991Medicare PIN
TX163621901Medicaid
TX163621902Medicaid
TX00593KMedicare PIN