Individual
MRS. ANDREA LEE HENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
729 BEDFORD EULESS RD W, HURST, TX 76053-3939
(817) 282-1001
Mailing address
13601 PRESTON RD, #1000W, DALLAS, TX 75240-4911
(972) 715-5007
(972) 715-5682
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
036954
TX
367500000X
Certified Registered Nurse Anesthetist
150915
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207153201
—
TX
05
—
2231892
—
OH
01
—
8608UU
BCBS
TX
Enumeration date
10/13/2005
Last updated
08/16/2011
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