Individual
RAUL ALEXIS TORRES HEISECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2608 MCDONALD RD, TYLER, TX 75701-5934
(903) 590-4000
(903) 262-3706
Mailing address
2608 MCDONALD RD, TYLER, TX 75701-5934
(214) 590-5028
(214) 764-7604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4165
TX
207RC0000X
Cardiovascular Disease Physician
N4165
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
N4165
TX
Other
Enumeration date
05/17/2007
Last updated
07/15/2015
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