HEIDI LANE

HOUSTON, TX
NPI1831738541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA13848)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA13848)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-12-27
Last Update Date2022-05-05
Business Address
HEIDI LANE
6400 FANNIN ST STE 2850
HOUSTON, TX 77030-1540
Phone number: 713-408-8367
Mailing Address
HEIDI LANE
6400 FANNIN ST STE 2850
HOUSTON, TX 77030-1540
Phone number: 713-408-8367