Individual
HEATHER DAWN RICKAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
54 FLAG LAKE PLZ, LAKE JACKSON, TX 77566-6263
(979) 297-0362
(979) 297-9096
Mailing address
54 FLAG LAKE PLAZA, LAKE JACKSON, TX 77566
(979) 297-0362
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04624
TX
Other
Enumeration date
08/12/2006
Last updated
07/21/2010
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