Individual
MISS THERESA MARIE HESLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA, CSA
Contact information
Practice address
2437 BAY AREA BLVD, HOUSTON, TX 77058-1519
(832) 891-9989
(866) 576-4221
Mailing address
2437 BAY AREA BLVD, HOUSTON, TX 77058-1519
(832) 891-9989
(866) 576-4221
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZC0007X
Surgical Assistant
SA00475
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
06/02/2017
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