Individual provider · Type 1 NPI

Elizabeth Therese Heyne, PA-C

Medical Physician Assistant · Dallas, TX

NPI number 1356434328 Active

Practice location

1935 Motor St, Low Birth Weight Clinic
Dallas, TX 75235-7701

Fax (214) 456-5702

Mailing address

440 Pine St
Southlake, TX 76092-7406

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00348 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1356434328

Elizabeth Therese Heyne, PA-C's National Provider Identifier is 1356434328, issued on Oct 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.