Individual
DENNIS CHRISTOPHER HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
076366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87184U
BLUE CROSS PROVIDER ID
TX
Enumeration date
07/17/2007
Last updated
03/13/2008
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