Individual
HEIDI LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6606 LBJ FWY, STE 200, DALLAS, TX 75240-6533
(972) 715-5000
Mailing address
6606 LBJ FWY, STE 200, DALLAS, TX 75240-6533
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
111179
TX
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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