Healthcare Provider Details

I. General information

NPI: 1174573042
Provider Name (Legal Business Name): RON JOSEPH HEKIER MD PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 02/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 SUMMERHILL RD
TEXARKANA TX
75503
US

IV. Provider business mailing address

2717 SUMMERHILL RD
TEXARKANA TX
75503
US

V. Phone/Fax

Practice location:
  • Phone: 903-794-0022
  • Fax: 903-794-0023
Mailing address:
  • Phone: 903-794-0022
  • Fax: 903-794-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberL6062
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: