Individual
WENDIE HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
456 MEANDERING CREEK DR, ARGYLE, TX 76226-2288
(940) 464-7473
Mailing address
456 MEANDERING CREEK DR, ARGYLE, TX 76226-2288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
114278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07984817
DRIVERS LICENSE
TX
Enumeration date
06/17/2015
Last updated
06/17/2015
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