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Individual

DR. DENNIS DYER HEINTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1810
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1810

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
N9219
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
323150801
TX
05
323150802
TX
Enumeration date
05/26/2007
Last updated
01/31/2014
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