Bruty, Heidi R.

Bruty, Heidi R. is an individual health care provider with primary practice located at 1380 River Bend Dr , Dallas TX 75247-4914. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bruty, Heidi R. can be contacted via phone (214) 743-6159.

Contact Information

Primary practice address
1380 River Bend Dr Dallas TX 75247-4914
Phone: (214) 743-6159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 91499 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X N2966 Texas

Profile Details

NPI number 1902952054
LBN Legal business name Bruty, Heidi R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902952054 NPPES
Florida MEDICAID 277534400
Florida Other 92447

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