| Heather Rowley, RD | |
|
112 W 4th St, Justin, TX 76247-5014 | |
| (817) 727-9652 | |
| Not Available |
| Full Name | Heather Rowley |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 112 W 4th St, Justin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942775788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT85659 (Texas) | Primary |
| Provider Name | Heather Rowley Rd Ld Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609637115 PECOS PAC ID: 2961849666 Enrollment ID: O20240318000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Rowley, RD 9330 Avery Ranch Way, Justin, TX 76247-6653 Ph: (817) 727-9652 | Heather Rowley, RD 112 W 4th St, Justin, TX 76247-5014 Ph: (817) 727-9652 |
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