Heath, Chrisadel G.

Heath, Chrisadel G. is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heath, Chrisadel G. can be contacted via phone (210) 539-9582.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22713 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33484 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.230588 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q6512 Texas

Profile Details

NPI number 1225295421
LBN Legal business name Heath, Chrisadel G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225295421 NPPES
Louisiana MEDICAID 05583

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