| Doctor Name: | HEATHER N AUTREY |
| NPI Number: | 1093041790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSA |
| License Number: | SA00419 |
| Business Practice Address: | 8294 Oakhaven Rd La Porte, TX - 775713608 |
| Business Phone Number: | 8324968210 |
| Business Fax Number: | 7138407378 |
| Mailing Address: | Po Box 606, LA PORTE |
| State: | TX |
| Postal Code: | 775720606 |
| Phone Number: | 8324968210 |
| Fax Number: | 7138407378 |
| NPI Enumeration Date: | 10/30/2009 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | SA00419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |