Individual
DR. EMILY G HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, 4 ROBERTS, DALLAS, TX 75246-2017
(214) 820-3000
(214) 820-3022
Mailing address
3500 GASTON AVE, 4 ROBERTS, DALLAS, TX 75246-2017
(214) 820-3000
(214) 820-3022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4966
TX
208000000X
Pediatrics Physician
L4966
TX
208M00000X
Hospitalist Physician
L4966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153123803
—
TX
05
—
153123805
—
TX
01
—
8CZ860
BCBSTX
TX
01
—
8S0730
BCBS
TX
Enumeration date
07/26/2006
Last updated
11/22/2011
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