Individual provider · Type 1 NPI
Loryn Alexis Higginbotham, PA-C
Medical Physician Assistant · Waco, TX
NPI number
1740065408
Active
Practice location
7005 Woodway Dr Ste 203
Waco, TX 76712-6162
Mailing address
2100 S New Rd Apt 1212
Waco, TX 76711-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA17078 (TX) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1740065408
Loryn Alexis Higginbotham, PA-C's National Provider Identifier is 1740065408, issued on Aug 30, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waco, TX. The record was last updated on Sep 5, 2023.