Individual
MRS. HEATHER CRANDELL ASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187143602
—
TX
01
—
187143603
CSHCN
TX
01
—
8KL730
BCBS
TX
01
—
Q00060165
RAILROAD MEDICARE
TX
Enumeration date
11/29/2006
Last updated
06/18/2021
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