Steuart Lawrence Heaton, MD | |
1136 E Grande Blvd, Tyler, TX 75703-3982 | |
(903) 592-5601 | |
(903) 595-3304 |
Full Name | Steuart Lawrence Heaton |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1136 E Grande Blvd, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841289303 | NPI | - | NPPES |
130276203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | F1633 (Texas) | Primary |
Entity Name | Heaton Ear Nose And Throat Associates Of East Texas P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306988035 PECOS PAC ID: 4688774482 Enrollment ID: O20090120000320 |
Mailing Address | Practice Location Address |
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Steuart Lawrence Heaton, MD 1136 E Grande Blvd, Tyler, TX 75703-3982 Ph: (903) 592-5601 | Steuart Lawrence Heaton, MD 1136 E Grande Blvd, Tyler, TX 75703-3982 Ph: (903) 592-5601 |
Dr. Monica Jane Hardee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
Timothy Dale, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 | |
James Dan Toney, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 630 S Fleishel Ave, Tyler, TX 75701 Phone: 903-533-1491 | |
Christopher A Perro, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2210 Three Lakes Pkwy Ste 100, Tyler, TX 75703 Phone: 903-747-4050 Fax: 903-747-4075 | |
Scott Fraser Kohlert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 530, Tyler, TX 75702 Phone: 903-606-4300 | |
Howard Scott Garb, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1136 E Grande Blvd, Tyler, TX 75703 Phone: 903-592-5601 Fax: 903-595-3304 | |
John Franklin Hudnall, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3413 Golden Rd, Tyler, TX 75701 Phone: 903-592-5601 Fax: 903-595-3304 |