Provider Demographics
NPI:1154421527
Name:HEIGHTEN, CLAY M (MD)
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:M
Last Name:HEIGHTEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9229 LBJ FREEWAY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:972-739-3097
Mailing Address - Fax:972-739-2673
Practice Address - Street 1:9229 LBJ FREEWAY
Practice Address - Street 2:SUITE 250
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243
Practice Address - Country:US
Practice Address - Phone:972-739-3097
Practice Address - Fax:972-739-2673
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXG3453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB23404Medicare UPIN