Individual
DR. HEATHER A MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8811 VILLAGE DR, SAN ANTONIO, TX 78217-5415
(210) 297-2520
(210) 297-2539
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
L6110
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
L6110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165949204
—
TX
01
—
6023560
CIGNA
TX
01
—
7527630
AETNA
TX
01
—
8BB450
BCBS
—
01
—
8K6279
BCBS
TX
Enumeration date
06/13/2006
Last updated
06/12/2024
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