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NPI Code Detail

MEDICARE: STEPHANIE M HEFLIN R.N, ANP-C

MEDICARE: STEPHANIE M HEFLIN R.N, ANP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician249415TX
2363LA2200XAdult Health Nurse Practitioner249415TX

General Provider Information

NPI Number : 1104136316
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE M HEFLIN R.N, ANP-C
Provider Business Mailing Address
First Line : 10497 TOWN AND COUNTRY WAY
Second Line : SUITE 360
City : HOUSTON
State : TX
Zip : 77024-1143
Country : US
Telephone Number : 713-341-2100
Fax Number : 713-932-7072
Provider Business Practice Location Address
First Line : 10497 TOWN AND COUNTRY WAY
Second Line : SUITE 360
City : HOUSTON
State : TX
Zip : 77024-1143
Country : US
Telephone Number : 713-341-2100
Fax Number : 713-932-7072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2010
Last Update Date : 06/15/2011

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