Individual
KEITH A HEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(972) 492-5174
Mailing address
4780 N JOSEY LN, CARROLLTON, TX 75010-4615
(972) 492-1334
(972) 492-5174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J9088
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J9088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104467903
—
TX
01
—
6484850003
MEDICARE NSC - EFFECT 02/01/2011
TX
01
—
8B7874
BCBS
—
01
—
8CR162
BCBS TX 02/01/2011
TX
01
—
P00913371
MEDICARE RAILROAD - EFFECT 02/01/2011
TX
01
—
TXB117515
MEDICARE PART B - EFFECT 02/01/2011
TX
Enumeration date
07/12/2006
Last updated
02/01/2017
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