Individual
HEIDI LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
(713) 798-2400
Mailing address
7200 CAMBRIDGE ST STE 6B, HOUSTON, TX 77030-4202
(713) 408-8367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13848
TX
363AM0700X
Medical Physician Assistant
Primary
PA13848
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/27/2019
Last updated
02/10/2025
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