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KRISTY D. HEATLY D.O. P.A. NPI 1164617627


NPI Information

NPI: 1164617627
Provider Name: KRISTY D. HEATLY, D.O., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1900 SCENIC DR
SUITE 1128
GEORGETOWN, TX
ZIP 78626
Phone: (512) 864-2911
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KRISTY D. HEATLY, D.O., P.A. is a family medicine in Georgetown, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KRISTY D. HEATLY, D.O., P.A. NPI is 1164617627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 SCENIC DR
SUITE 1128
GEORGETOWN, TX
ZIP 78626-724
Phone: (512) 864-2911

The provider's authorized official is Kristy D Heatly .
The authorized official title is Owner and has the following contact phone number (512) 864-2911.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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