Individual
HETA ATUL JAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3710
Mailing address
7703 FLOYD CURL DR, MC7870, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
P4462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323284501
—
TX
01
—
323284502
CSHCN
TX
Enumeration date
08/04/2008
Last updated
12/20/2013
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