Provider Demographics
NPI:1386933596
Name:H.E.A.L. MEDICAL CORP
Entity type:Organization
Organization Name:H.E.A.L. MEDICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:NUNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-440-2200
Mailing Address - Street 1:1010 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-4924
Mailing Address - Country:US
Mailing Address - Phone:512-459-4400
Mailing Address - Fax:512-368-2388
Practice Address - Street 1:2000 VAN NESS AVE STE 501A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3017
Practice Address - Country:US
Practice Address - Phone:415-440-2200
Practice Address - Fax:415-440-2240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-29
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty