Individual
DR. THOMAS LUKE HEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4364 HERITAGE TRACE PKWY # 112A, FORT WORTH, TX 76244-9106
(817) 576-0884
Mailing address
2817 DYER ST, DALLAS, TX 75205-1905
(704) 377-5772
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q0453
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
Q0453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2280704
MEDICARE UPIN
TX
05
—
89126P7
—
TX
01
—
AA7485A309
MEDICARE UPIN
TX
05
—
N00453
—
TX
01
—
NC1837A
MEDICARE UPIN
TX
Enumeration date
04/11/2006
Last updated
02/17/2020
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