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Individual
HEATHER MCCALL
Active
Individual
HEATHER MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
BCBS TEXAS
TX
05
—
084249401
—
TX
Enumeration date
08/15/2012
Last updated
05/21/2024
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