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Prof. Jill P Heffernan, MD
Student in an Organized Health Care Education/Training Program in Sherman, Texas
NPI 1821207044

Jill P Heffernan is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Jill P Heffernan practices in Sherman, TX and has the professional credentials of MD. The NPI Number for Jill P Heffernan is 1821207044 and holds a License No. N6349 (Texas).

The current practice location address for Jill P Heffernan is 2800 Highway 75 North, Sherman, TX and can be reached out via phone at 903-868-4700 and via fax at 903-892-4910.

Location: 2800 Highway 75 North, Sherman, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821207044
Provider Name
Jill P Heffernan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2800 Highway 75 North, Sherman, TX, 75391-1230
Phone Number
903-868-4700
Fax Number
903-892-4910
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214144202 05 TX
214144201 05 TX
P00942262 01 TX MEDICARE RAILROAD
200311330A 01 OK OKAHOMA MEDICAID
institution
Provider Business Practice Location Address Details
Address
2800 Highway 75 North
City
Sherman
State
Texas
Zip
75090
Phone Number
903-868-4700
Fax Number
903-892-4910
person
Provider Business Mailing Address Details
Address
2800 Highway 75 North
City
Sherman
State
Texas
Zip
75090
Phone Number
903-868-4700
Fax Number
903-892-4910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
0116018121 (Virginia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
N6349 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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