Dr. Heather Lynn Autry
Family Doctor Family Doctor - Sports Medicine
1500 S Main St
Fort Worth
, Texas 76104-4917
Dr. Heather Lynn Autry
Family Doctor Family Doctor - Sports Medicine
1500 S Main St
Fort Worth
, Texas 76104-4917
(817) 702-3431
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Heather Lynn Autry
- Po Box 732973
- Dallas, TX
- Zip : 75391-2973
- Phone : (817) 702-3431
Second Address
- Dr. Heather Lynn Autry
- 1500 S Main St
- Fort Worth, TX
- Zip : 76104-4917
- Phone : (817) 702-3431
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FAQs
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What type of doctor is Dr. Heather Lynn Autry
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Is Dr. Heather Lynn Autry a sole practitioner?
Is Dr. Heather Lynn Autry accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 51402 | CO |
| Y | 207Q00000X | Family Doctor | N953 | TX |
| N | 207QS0010X | Family Doctor - Sports Medicine | 51402 | CO |
National Provider Identifier
| NPI | 1093979395 |
|---|---|
| Provider Name | Dr. Heather Lynn Autry |
| First Address | Dallas, TX 75391-2973 |
| Second Address | Fort Worth, TX 76104-4917 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2008 |
| Last Update Date | 04/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64771202 | (05) | CO |
| COA107693 | MEDICARE PTAN (01) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.