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Individual

HEATHER R. RIEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34910 INTERSTATE 10 W STE 501, BOERNE, TX 78006-9230
(830) 484-6111
(830) 331-9806
Mailing address
8267 PIMLICO LN, BOERNE, TX 78015-4455
(434) 981-3374

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P4903
TX
2080P0202X
Pediatric Cardiology Physician
P4903
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3147027
TX
05
314702703
TX
Enumeration date
06/14/2007
Last updated
03/07/2023
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