Charles L. Heaton , M.d. P.a.

NPI #1174049191 in Tyler, Texas

Provider Information

NPI Number
1174049191
Entity Type
Organization
Organization Name
Charles L. Heaton , M.d. P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
CHARLES L. HEATON , M.D. P.A.
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 22, 2017
Last Updated
Oct 7, 2025

Practice Location

Address
3355 EARL CAMPBELL PKWY
City
Tyler
State
Texas
ZIP Code
75701-8435
Phone
(903) 526-0444

Authorized Official

Name
JUDITH C HODGES-ODOM
Title
CREDENTIALING
Phone
(903) 526-0444

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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