Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | P8789 | TX |
NPI | 1093064495 |
---|---|
Provider Name | Dr. Robert Andrew Hetz |
First Address | Houston, TX 77024-2529 |
Second Address | Houston, TX 77024-2529 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2012 |
Last Update Date | 11/12/2020 |