Individual
MRS. HEIDI A BOLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2559 WESTERN TRAILS BLVD, STE. 200, AUSTIN, TX 78745-1554
(512) 899-2028
(512) 899-0311
Mailing address
7800 SHOAL CREEK BLVD, STE. 205-N, AUSTIN, TX 78757-1098
(512) 206-4300
(512) 206-4350
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
775404
TX
Other
Enumeration date
10/18/2012
Last updated
02/10/2022
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