Basic Information
Provider Information
NPI: 1205242278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANZ
FirstName: HEATHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12221 N MOPAC EXPY
Address2:  
City: AUSTIN
State: TX
PostalCode: 787582401
CountryCode: US
TelephoneNumber: 5119014021
FaxNumber: 5129013921
Practice Location
Address1: 12221 N MOPAC EXPY
Address2:  
City: AUSTIN
State: TX
PostalCode: 787582401
CountryCode: US
TelephoneNumber: 5119014021
FaxNumber: 5129013921
Other Information
ProviderEnumerationDate: 07/10/2014
LastUpdateDate: 05/12/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SG0600XAP125960TXY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology

No ID Information.


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