Individual
CHRISADEL G. HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22713
MS
207Q00000X
Family Medicine Physician
33484
SC
207Q00000X
Family Medicine Physician
MD.230588
LA
207Q00000X
Family Medicine Physician
Primary
Q6512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05583
—
LA
Enumeration date
05/16/2008
Last updated
07/21/2022
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