Individual provider · Type 1 NPI
Heather Dawn Rickaway, PA
Medical Physician Assistant · Lake Jackson, TX
NPI number
1649282237
Active
Practice location
54 Flag Lake Plz
Lake Jackson, TX 77566-6263
Fax (979) 297-9096
Mailing address
54 Flag Lake Plaza
Lake Jackson, TX 77566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA04624 (TX) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Lake Jackson
About NPI 1649282237
Heather Dawn Rickaway, PA's National Provider Identifier is 1649282237, issued on Aug 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Jackson, TX. The record was last updated on Jul 21, 2010.