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Contact Information

HEATHER MCCONNELL, MA
911 NW LOOP 281
SUITE 302
LONGVIEW, TX75604
 Phone: 903-759-2402
 Fax: 903-759-2570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for HEATHER MCCONNELL · (Female)

NPI # 1053421131
Status Active
Credentials MA
Entity Individual
Enumeration date 08/30/2006
Last updated 05/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # P1402017
  • TX License # 19658
  • TX Medicaid 177772401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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