Individual
DONALD L HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 W 21ST ST, SUITE A, CLOVIS, NM 88101-4084
(575) 762-2121
(575) 935-2121
Mailing address
PO BOX 5205, CLOVIS, NM 88102-5205
(575) 762-2121
(575) 935-2121
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
J5347
TX
207RC0000X
Cardiovascular Disease Physician
Primary
MD2006-0020
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145439901
—
TX
Enumeration date
05/05/2006
Last updated
02/19/2009
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