| C. R. Heirtzler, Jr., D.d.s., Inc. | |
|
3312 Medical Triangle Drive Port Arthur TX 77642-2424 | |
| (409) 962-5311 | |
| (409) 963-3192 |
| Full Name | C. R. Heirtzler, Jr., D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3312 Medical Triangle Drive, Port Arthur, Texas |
| Authorized Official Name and Position | Clarence R Heirtzler (PRESIDENT/OWNER) |
| Authorized Official Contact | 4099625311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. R. Heirtzler, Jr., D.d.s., Inc. 3312 Medical Triangle Drive Port Arthur TX 77642-2424 Ph: (409) 962-5311 | C. R. Heirtzler, Jr., D.d.s., Inc. 3312 Medical Triangle Drive Port Arthur TX 77642-2424 Ph: (409) 962-5311 |
| NPI Number | 1942473178 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942473178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6682 (Texas) | Primary |
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