Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DALE HEATHCOCK
Active Sole ProprietorMR. DALE HEATHCOCK is a Sleep Disorder Diagnostic Clinic healthcare provider located in LAKE JACKSON, Texas. NPI 1902343056 is currently active in the NPPES registry. Verify at CMS.
Sleep Disorder Diagnostic Clinic · LAKE JACKSON, TX
Registration Details
- NPI Number
- 1902343056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2017 (9.3591584838961 yrs)
- Last Updated
- Jan 27, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 W WAY STSUITE 19-20LAKE JACKSON, TX, 775665219Browse TX providers · Browse ZIP 77566
- Phone
- 9792669497
- Fax
- 9792669507
- Primary Specialty
-
Sleep Disorder Diagnostic Clinic
261QS1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.