Individual
ELIZABETH TERESIA HEINECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7634 ASHTON DR, HOUSTON, TX 77095-3920
(833) 760-9796
Mailing address
7634 ASHTON DR, HOUSTON, TX 77095-3920
(833) 760-9796
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
679321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679321
BOARD OF NURSING
TX
Enumeration date
07/31/2018
Last updated
07/31/2018
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