| Doctor Name: | SAMANTHA HEIBEL |
| NPI Number: | 1477923142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP128585 |
| Business Practice Address: | 1525 Fm 766 Cuero, TX - 779546300 |
| Business Phone Number: | 3612752075 |
| Business Fax Number: | |
| Mailing Address: | 1525 Fm 766, CUERO |
| State: | TX |
| Postal Code: | 779546300 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2015 |
| NPI Last Update Date: | 10/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP128585 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |