Individual provider · Type 1 NPI

Carl Theodore Heinrich Iv

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1063083343 Active · reactivated Jun 26, 2023

Practice location

7703 Floyd Curl Dr
San Antonio, TX 78229-3900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10082391 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063083343

Carl Theodore Heinrich Iv's National Provider Identifier is 1063083343, issued on Jul 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 26, 2023.