Individual
MARY LOU HEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9401 SOUTHWEST FWY, HOUSTON, TX 77074
(713) 970-7000
Mailing address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
628770
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
628770
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
AP110284
TX
Other
Enumeration date
05/23/2009
Last updated
06/19/2018
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