Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | N0086 | TX |
N | 2080A0000X | Adolescent Medicine | MD00037652 | WA |
NPI | 1225057060 |
---|---|
Provider Name | Claire M Hebner |
First Address | Austin, TX 78755-0726 |
Second Address | Austin, TX 78704-7048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 18/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039577 | LABOR & INDUSTRY (01) | WA |
195387901 | (05) | TX |
195387902 | (05) | TX |
195387903 | (05) | TX |
6204HE | BLUE SHIELD (01) | WA |
8247041 | (05) | WA |
H05765 | (02) | |
US7557043 | AETNA/USHC SPECIALIST (01) | WA |