Provider Demographics
NPI:1962047753
Name:HEFLIN, PATRICIA (RDN, CDE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HEFLIN
Suffix:
Gender:F
Credentials:RDN, CDE
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:HEFLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, CDE
Mailing Address - Street 1:2930 SEA CHANNEL DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-1640
Mailing Address - Country:US
Mailing Address - Phone:713-447-4300
Mailing Address - Fax:
Practice Address - Street 1:2930 SEA CHANNEL DR
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-1640
Practice Address - Country:US
Practice Address - Phone:713-447-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX833484133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered