Individual
IAN HEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 FOREST LN STE B445, DALLAS, TX 75230
(972) 566-6600
Mailing address
7777 FOREST LN STE B445, DALLAS, TX 75230-6877
(972) 566-6900
(972) 566-6993
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
063870
GA
207T00000X
Neurological Surgery Physician
87176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2670411-00
—
FL
Enumeration date
06/20/2005
Last updated
07/22/2019
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