Individual
MS. HEENABEN RATHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12410 TOEPPERWEIN RD, LIVE OAK, TX 78233-3230
(210) 742-6555
(224) 623-0079
Mailing address
12410 TOEPPERWEIN RD, LIVE OAK, TX 78233-3230
(210) 742-6555
(224) 623-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.458859
IL
163W00000X
Registered Nurse
979120
TX
363L00000X
Nurse Practitioner
Primary
1010971
TX
Other
Enumeration date
07/24/2020
Last updated
02/16/2022
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