Individual
DR. RALPH F. HEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N 19TH ST, SUITE 1A, ABILENE, TX 79601-2344
(325) 672-4368
(325) 672-3108
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K0817
TX
207RX0202X
Medical Oncology Physician
K0817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045771501
—
TX
05
—
104037001
—
TX
05
—
104037002
—
TX
01
—
8R1457
BLUE CROSS OF TEXAS
TX
Enumeration date
06/02/2006
Last updated
02/18/2008
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