Provider Demographics
NPI:1861425878
Name:HIGHTOWER, ROBERT BRIAN (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRIAN
Last Name:HIGHTOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:OK
Mailing Address - Zip Code:74023-4136
Mailing Address - Country:US
Mailing Address - Phone:918-225-3627
Mailing Address - Fax:918-225-1008
Practice Address - Street 1:1025 E 2ND ST
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:OK
Practice Address - Zip Code:74023-4136
Practice Address - Country:US
Practice Address - Phone:918-225-3627
Practice Address - Fax:918-225-1008
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100091440CMedicaid
OK100091440CMedicaid
G13676Medicare UPIN