Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Clark R Higganbotham

Individual provider Urology Physician · NPI 1164042560

Mr. Clark R Higganbotham is an Urology Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

10901 E 48th St
Tulsa, OK 74146-5830
Phone: (918) 749-8765
Fax: (918) 392-2155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 47339 (OK)

Record details

NPI number1164042560
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

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