Individual
DR. HEIDI LOUISE MCKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 INWOOD RD 2ND FLOOR, DALLAS, TX 75390-1806
(214) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 645-8525
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
J8740
TX
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
Primary
J8740
TX
2085R0001X
Radiation Oncology Physician
J8740
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007363100
AETNA
—
05
—
148500501
—
TX
01
—
83271G
BCBS
TX
01
—
920006629
RR MEDICARE
—
Enumeration date
01/30/2006
Last updated
03/02/2020
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