Organization
HEATHER A. MCKENZIE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS A DOEGE (MANAGED CARE COORDINATOR)
(210) 804-5416
Entity
Organization
Contact information
Practice address
5101 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 592-5314
(210) 592-5452
Mailing address
PO BOX 2074, SAN ANTONIO, TX 78297-2074
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
L6110
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L6110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093RB
BCBS GROUP
TX
05
—
197474301
—
TX
Enumeration date
02/15/2008
Last updated
01/11/2010
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