Individual
KIRK E HEYNE
Active
Individual
KIRK E HEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G1432
TX
207RX0202X
Medical Oncology Physician
Primary
G1432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122663101
—
TX
05
—
122663105
—
TX
01
—
1346227816
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
819841
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P01170502
RR MEDICARE
TX
Enumeration date
12/27/2005
Last updated
03/08/2016
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