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Individual

HEATHER E TYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9100 W INTERSTATE 10 STE 210, SAN ANTONIO, TX 78230-3149
(210) 928-3900
(210) 855-5974
Mailing address
9100 W INTERSTATE 10 STE 210, SAN ANTONIO, TX 78230-3149
(210) 928-3900
(210) 855-5974

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
702477
TEXAS BOARD OF NURSING
TN
Enumeration date
04/06/2020
Last updated
04/06/2020
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