Provider Demographics
NPI:1730178138
Name:FALVO, HEATHER M (MD)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:FALVO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:MAIL STOP: RR8-49 ONE DELL WAY
Mailing Address - Street 2:WELL AT DELL HEALTH CENTER
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78682
Mailing Address - Country:US
Mailing Address - Phone:512-728-9355
Mailing Address - Fax:512-728-6789
Practice Address - Street 1:2401 GREENLAWN BLVD
Practice Address - Street 2:WELL AT DELL HEALTH CENTER BUILDING 8
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-728-9355
Practice Address - Fax:512-728-6789
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2009-05-19
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Provider Licenses
StateLicense IDTaxonomies
TXL2880207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH50216Medicare UPIN