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1972590404
JONATHAN BARRY HEISTEIN
FORT WORTH, TX
NPI
1972590404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: TX L3330)
Enumeration Date
2005-09-30
Last Update Date
2007-07-08
Business Address
-- JONATHAN BARRY HEISTEIN M.D.
800 8TH AVE
FORT WORTH, TX 76104-2619
Phone number: 817-820-0000
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Mailing Address
-- JONATHAN BARRY HEISTEIN M.D.
800 8TH AVE SUITE 240
FORT WORTH, TX 76104-2601
Phone number: 817-820-0000
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