MEDICARE: LAUREN HELLER

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	PA15363	TX

General Provider Information

NPI Number	:	1831852698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN HELLER

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:

Provider Business Practice Location Address
First Line	:	4419 FRONTIER TRL STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1567
Country	:	US
Telephone Number	:	512-654-8100
Fax Number	:

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

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	04/09/2026

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Directions to “ LAUREN HELLER ” Practice Location

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