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1104447143
TYLER RAY HEIMDAL
DALLAS, TX
NPI
1104447143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-30
Last Update Date
2020-04-30
Business Address
TYLER RAY HEIMDAL MD
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
TYLER RAY HEIMDAL MD
11855 FM 2153
SANGER, TX 76266-6940
Phone number:
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