Individual provider · Type 1 NPI

Clark R. Higganbotham

Urology Physician · Tulsa, OK

NPI number 1164042560 Active

Practice location

10901 E 48th St
Tulsa, OK 74146-5830

Fax (918) 392-2155

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X47339 (OK)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1164042560

Clark R. Higganbotham's National Provider Identifier is 1164042560, issued on Apr 26, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 25, 2026.