Provider Demographics
NPI:1780693440
Name:CARR-HEYN, DIXIE L (PT)
Entity type:Individual
Prefix:
First Name:DIXIE
Middle Name:L
Last Name:CARR-HEYN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 HUEBNER RD STE 290
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1598
Mailing Address - Country:US
Mailing Address - Phone:210-615-3566
Mailing Address - Fax:210-293-1183
Practice Address - Street 1:18626 HARDY OAK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4219
Practice Address - Country:US
Practice Address - Phone:210-293-2941
Practice Address - Fax:210-293-1183
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1131506OtherTX LICENSE
TX1131506OtherTX LICENSE
279273YQ3QMedicare PIN