Organization · Type 2 NPI
Georgia Heisser
Point of Service · Beaumont, TX
NPI number
1245777564
Active
Practice location
7750 Park North Dr
Beaumont, TX 77708-2425
Mailing address
PO Box 21285
Beaumont, TX 77720-1285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | MT126192 (TX) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1245777564
Georgia Heisser's National Provider Identifier is 1245777564, issued on Jan 24, 2017. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Beaumont, TX. The record was last updated on Jan 24, 2017.