Individual
ELIZABETH THERESE HEYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1935 MOTOR ST, LOW BIRTH WEIGHT CLINIC, DALLAS, TX 75235-7701
(214) 456-2131
(214) 456-5702
Mailing address
440 PINE ST, SOUTHLAKE, TX 76092-7406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00348
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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