Heathcock, Dale

Heathcock, Dale is an sole proprietor health care provider with primary practice located at 107 W Way St Suite 19-20, Lake Jackson TX 77566-5219. He recently has only one registered license in Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, which is considered as his primary health care specialty. Heathcock, Dale can be contacted via phone (979) 266-9497.

Contact Information

Primary practice address
107 W Way St Suite 19-20 Lake Jackson TX 77566-5219
Phone: (979) 266-9497
Fax: (979) 266-9507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1902343056
LBN Legal business name Heathcock, Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2017
Last updated Jan 27th, 2017 - about 7 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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