Heaton, Steuart Lawrence

Heaton, Steuart Lawrence is an individual health care provider with primary practice located at 1136 E Grande Blvd , Tyler TX 75703-3982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Heaton, Steuart Lawrence can be contacted via phone (903) 592-5601.

Contact Information

Primary practice address
1136 E Grande Blvd Tyler TX 75703-3982
Fax: (903) 595-3304
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X F1633 Texas

Profile Details

NPI number 1841289303
LBN Legal business name Heaton, Steuart Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Dec 9th, 2016 - about 10 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 1841289303 NPPES
Texas MEDICAID 130276203

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