Charles L. Heaton, Md, PA
NPI #1649575291 in Longview, Texas
Provider Information
- NPI Number
- 1649575291
- Entity Type
- Organization
- Organization Name
- Charles L. Heaton, Md, PA
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jan 12, 2011
- Last Updated
- Aug 9, 2023
Practice Location
Authorized Official
- Name
- JUDITH HODGES-ODOM
- Title
- CREDENTIALING SPECIALIST
- Phone
- (903) 526-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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