Mansy, Heidi M

Mansy, Heidi M is an individual health care provider with primary practice located at 100 Medical Dr , Lake Jackson TX 77566-5674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mansy, Heidi M can be contacted via phone (979) 297-4411.

Contact Information

Primary practice address
100 Medical Dr Lake Jackson TX 77566-5674
Phone: (979) 297-4411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 654373 Texas

Profile Details

NPI number 1396009015
LBN Legal business name Mansy, Heidi M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jun 25th, 2013 - about 12 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 1396009015 NPPES
Texas Other 881N41 BCBS
Texas Other 1396009015 BCBS
Texas MEDICAID 305464503 BCBS

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