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Organization

THE HEIDI GROUP

Active
Other names
Heidi Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL EVERETT (CEO)
(512) 255-2088
Entity
Organization

Contact information

Practice address
894 SUMMIT ST STE 108, ROUND ROCK, TX 78664
(512) 255-2088
(512) 255-2582
Mailing address
894 SUMMIT ST STE 108, ROUND ROCK, TX 78664-4370
(512) 255-2088
(512) 255-2582

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
G1054
TX

Other

Enumeration date
04/18/2016
Last updated
05/15/2018
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