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NPI Code Detail

MEDICARE: LINDA S HEARNE MD

MEDICARE: LINDA S HEARNE MD
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
1207Q00000XFamily Medicine PhysicianH2525TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A007233OTHERTXDPS REGISTRATION

General Provider Information

NPI Number : 1801800966
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA S HEARNE MD
Provider Business Mailing Address
First Line : 2300 W COMMERCE ST
Second Line : SUITE 300
City : SAN ANTONIO
State : TX
Zip : 78207-3839
Country : US
Telephone Number : 210-922-0103
Fax Number : 210-922-0162
Provider Business Practice Location Address
First Line : 333 N SANTA ROSA AVE
Second Line : SUITE 4671
City : SAN ANTONIO
State : TX
Zip : 78207-3108
Country : US
Telephone Number : 210-738-8222
Fax Number : 210-738-8644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/07/2023

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