Individual
THOMAS PATRICK HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 PARK CENTRAL DR STE 410, DALLAS, TX 75251-2101
(972) 490-5970
(972) 490-5632
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
(817) 759-7027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M1752
TX
207VX0201X
Gynecologic Oncology Physician
Primary
M1752
TX
Other
Enumeration date
09/25/2006
Last updated
03/20/2023
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