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Mr. Dale Heathcock
Sleep Disorder Diagnostic Clinic/Center in Lake Jackson, Texas
NPI 1902343056

Dale Heathcock is a Sleep Disorder Diagnostic Clinic/Center based in Rosharon, TX and is specialized in Sleep Disorder Diagnostic. Dale Heathcock practices in Lake Jackson, TX. The NPI Number for Dale Heathcock is 1902343056 and holds a License No. (Texas).

The current practice location address for Dale Heathcock is 107 W Way St, Lake Jackson, TX and can be reached out via phone at 979-266-9497 and via fax at 979-266-9507.

Location: 107 W Way St, Lake Jackson, TX, 77583-3275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902343056
Provider Name
Dale Heathcock
Credential
Provider Entity Type
Individual
Gender
Male
Address
107 W Way St, Lake Jackson, TX, 77583-3275
Phone Number
979-266-9497
Fax Number
979-266-9507
Provider Enumeration Date
01/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 W Way St
City
Lake Jackson
State
Texas
Zip
77566-5219
Phone Number
979-266-9497
Fax Number
979-266-9507
person
Provider Business Mailing Address Details
Address
107 W Way St
City
Lake Jackson
State
Texas
Zip
77566-5219
Phone Number
979-266-9497
Fax Number
979-266-9507
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Sleep Disorder Diagnostic
Taxonomy
261QS1200X
License No.
()
Definition
Definition to come...
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