Bruty, Heidi R.
Bruty, Heidi R. is an individual health care provider with primary practice located at 1380 River Bend Dr , Dallas TX 75247-4914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bruty, Heidi R. can be contacted via phone (214) 743-6159.Contact Information
Primary practice address
1380 River Bend Dr
Dallas TX 75247-4914
Phone: (214) 743-6159
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 91499 | Florida |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | N2966 | Texas |
Profile Details
NPI number | 1902952054 |
---|---|
LBN Legal business name | Bruty, Heidi R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Aug 10th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902952054 | NPPES |
Florida | MEDICAID | 277534400 | |
Florida | Other | 92447 |
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