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NPI Code Detail

MEDICARE: HEATHER MCCALL P.A.

MEDICARE: HEATHER MCCALL P.A.
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 AssistantPA07917TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100N59XOTHERTXBCBS TEXAS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518215094
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MCCALL P.A.
Provider Business Mailing Address
First Line : PO BOX 848491
Second Line :
City : DALLAS
State : TX
Zip : 75284-8491
Country : US
Telephone Number : 254-202-9330
Fax Number :
Provider Business Practice Location Address
First Line : 50 HILLCREST MEDICAL BLVD STE 303
Second Line :
City : WACO
State : TX
Zip : 76712-8955
Country : US
Telephone Number : 254-202-0480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 05/21/2024

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Directions to “ HEATHER MCCALL P.A.” Practice Location

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