Individual
DR. HEIDI R. BRUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 91499
FL
2084P0804X
Child & Adolescent Psychiatry Physician
N2966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277534400
—
FL
01
—
92447
BCBS
FL
Enumeration date
01/25/2007
Last updated
08/10/2009
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