Individual
HEIDI CHRISTINE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 S LOOP 256, PALESTINE, TX 75801-6958
(903) 731-1144
Mailing address
736 SOUTHWOOD DR, ATHENS, TX 75751-3144
(903) 681-3762
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180628301
—
TX
01
—
180628302
CSHCN
TX
01
—
8V2236
BCBS
TX
Enumeration date
06/11/2006
Last updated
04/16/2008
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