Provider Demographics
NPI:1114028446
Name:HEIN, DAYLE (MD)
Entity Type:Individual
Prefix:
First Name:DAYLE
Middle Name:
Last Name:HEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4961
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4961
Mailing Address - Country:US
Mailing Address - Phone:281-363-3156
Mailing Address - Fax:281-419-1244
Practice Address - Street 1:233 W PARKER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2915
Practice Address - Country:US
Practice Address - Phone:281-363-3156
Practice Address - Fax:281-419-1244
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6412207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D66526Medicare UPIN