Individual
CHARLES CLYDE HEINSZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 CRESTDALE DR, HOUSTON, TX 77080-7258
(662) 721-7218
Mailing address
1815 CRESTDALE DR, HOUSTON, TX 77080-7258
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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