Organization
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC
Active
Parent organization
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC
Other names
Heetland and Heetland Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARK COLVILLE AND KELLY HEETLAND SPECIALTY PARTNERS OF TEXAS PLLC
Authorized official
KRYSTAL RICHARDSON (DIRECTOR OF RCM)
(214) 934-7995
Entity
Organization
Contact information
Practice address
2211 MIDWESTERN PKWY STE 1, WICHITA FALLS, TX 76308-2300
(940) 691-2911
Mailing address
820 W 42ND ST, SCOTTSBLUFF, NE 69361-4708
(308) 260-0241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
01/08/2026
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