MEDICARE: PEGGY A. HEINE 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
1	363A00000X	Physician Assistant	PA00257	TX

General Provider Information

NPI Number	:	1184831638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEGGY A. HEINE PA-C

Provider Business Mailing Address
First Line	:	7305 TWILIGHT RIDGE DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5712
Country	:	US
Telephone Number	:	361-850-9291
Fax Number	:

Provider Business Practice Location Address
First Line	:	1038 TEXAS YES BLVD
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-6142
Country	:	US
Telephone Number	:	361-767-1200
Fax Number	:	361-387-5104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	01/11/2026

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