Individual
DR. HEENA NITIN KANASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2736 W ILLINOIS AVE, DALLAS, TX 75233-1004
(214) 467-7377
(214) 247-7384
Mailing address
2736 W ILLINOIS AVE, DALLAS, TX 75233-1004
(214) 467-7377
(214) 247-7384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K6032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096264902
—
TX
05
—
096264903
—
TX
05
—
096264904
—
TX
Enumeration date
03/04/2007
Last updated
05/21/2009
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