Clark R Higganbotham
Urology in Tulsa, OK. Individual provider (NPI-1).
NPI number1164042560
StatusActive
Last updated in NPPESJun 25, 2026
Details
- NPI
- 1164042560
- Entity type
- Individual (NPI-1)
- Name
- Mr. Clark R Higganbotham
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2020
- Certification date
- Jun 25, 2026
- Last updated
- Jun 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 47339 | OK | Yes |
Practice location
10901 E 48th StTulsa, OK 74146-5830
Phone 918-749-8765 · Fax 918-392-2155
Mailing address
10901 E 48th StTulsa, OK 74146-5830
Phone 918-749-8765 · Fax 918-392-2155
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