Dr. Kristy D. Heatly, D.O.
Family Medicine in Tomball, TX. Individual provider (NPI-1).
NPI number1548220122
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1548220122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristy D. Heatly
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2006
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | L3678 | TX | Yes |
Practice location
13406 Medical Complex DrSuite 180
Tomball, TX 77375-3332
Phone 281-290-0786 · Fax 281-290-0863
Mailing address
13406 Medical Complex DrSuite 180
Tomball, TX 77375-3332
Phone 281-290-0786 · Fax 281-290-0863
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