Basic Information
| Provider Information | |||||||||
| NPI: | 1649212853 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HECK | ||||||||
| FirstName: | TONIA | ||||||||
| MiddleName: | DENISE | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10308 BYWAY DR | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799256914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155915090 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11410 VISTA DEL SOL DR | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799365331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155926269 | ||||||||
| FaxNumber: | 9155928847 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 10/02/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA03562 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.