Individual
HEATHER ELAINE NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-5437
(713) 873-4337
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 741-1235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70240
CA
208000000X
Pediatrics Physician
L9389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8C1386
—
TX
01
—
A70240
CA MED LICENSE
—
Enumeration date
10/17/2006
Last updated
11/12/2018
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