DALE HEATHCOCK

LAKE JACKSON, TX
NPI1902343056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date2017-01-27
Last Update Date2017-01-27
Business Address
Mr. DALE HEATHCOCK
107 W WAY ST SUITE 19-20
LAKE JACKSON, TX 77566-5219
Phone number: 979-266-9497
Mailing Address
Mr. DALE HEATHCOCK
2502 PLATINUM CHASE DR
ROSHARON, TX 77583-3275
Phone number: 281-635-7458