Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 875395 | TX |
NPI | 1023480753 |
---|---|
Provider Name | Danielle Hope Heck |
First Address | The Colony, TX 75056-2905 |
Second Address | The Colony, TX 75056-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2015 |
Last Update Date | 21/10/2015 |