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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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