Individual
ERIC I HETTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5245 WALZEM RD, WINDCREST, TX 78218-2122
(210) 654-9700
Mailing address
5245 WALZEM RD, WINDCREST, TX 78218-2122
(210) 654-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1077591
TX
363A00000X
Physician Assistant
Primary
PA05495
TX
Other
Enumeration date
09/22/2008
Last updated
03/27/2015
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