Organization
JENNIFER HEATH MD
Active
Organization
JENNIFER HEATH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BILLMAN (CLAIMS MANAGER)
(972) 258-9570
Entity
Organization
Contact information
Practice address
6410 SOUTHWEST BLVD STE 101, BENBROOK, TX 76109-3918
(817) 735-1888
Mailing address
PO BOX 2710, COPPELL, TX 75019-8710
(972) 258-9750
(972) 258-9569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J6998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0098BW
BLUE CROSS BLUE SHIELD
TX
05
—
113817401
—
TX
01
—
260035942
MEDICARE RAILROAD
TX
Enumeration date
04/20/2007
Last updated
08/05/2008
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