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

NPI #1710403738 in Athens, Texas

Provider Information

NPI Number: 1710403738
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: Aug 10, 2023

Practice Location

Address: 1240 S PALESTINE ST
City: Athens
State: Texas
ZIP Code: 75751-3619
Phone: (903) 675-8111

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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