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NPI Code Detail

MEDICARE: MRS. HEATHER MICHELLE CHRISTIAN PA-C

MEDICARE: MRS. HEATHER MICHELLE CHRISTIAN PA-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
1363A00000XPhysician AssistantPA06554TX

General Provider Information

NPI Number : 1720319486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HEATHER MICHELLE CHRISTIAN PA-C
Provider Business Mailing Address
First Line : 3850 FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-4123
Country : US
Telephone Number : 281-528-2810
Fax Number :
Provider Business Practice Location Address
First Line : 3850 FM 2920 RD
Second Line :
City : SPRING
State : TX
Zip : 77388-4123
Country : US
Telephone Number : 281-528-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 02/21/2018

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Directions to “ MRS. HEATHER MICHELLE CHRISTIAN PA-C” Practice Location

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