Charles L. Heaton, Md, PA

NPI #1144115742 in Gun Barrel City, Texas

Provider Information

NPI Number: 1144115742
Entity Type: Organization
Organization Name: Charles L. Heaton, Md, PA
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLES L. HEATON, MD, PA
Primary Specialty: Ophthalmology
Enumeration Date: Jun 12, 2025
Last Updated: Jul 29, 2025

Practice Location

Address: 2415 W MAIN ST
City: Gun Barrel City
State: Texas
ZIP Code: 75156-3639
Phone: (903) 526-0444

Authorized Official

Name: TERRAN L SMITH
Title: REVENUE CYCLE MANAGER
Phone: (903) 526-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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