Doctor Name: | DR. TYREEN VIDAL HEYBECK |
NPI Number: | 1003144593 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | PR175 |
Business Practice Address: | 8 N Main St Ste P Kingwood, TX - 773393750 |
Business Phone Number: | 2813607400 |
Business Fax Number: | |
Mailing Address: | 8 N Main St Ste P, KINGWOOD |
State: | TX |
Postal Code: | 773393750 |
Phone Number: | 2813607400 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2009 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PR175 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |