Provider Demographics
NPI:1164672184
Name:HEIMLICH, PATTI ANN (LMT, CD(DONA), ICCE)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:ANN
Last Name:HEIMLICH
Suffix:
Gender:F
Credentials:LMT, CD(DONA), ICCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 ROSEDALE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6001
Mailing Address - Country:US
Mailing Address - Phone:713-661-8796
Mailing Address - Fax:
Practice Address - Street 1:2013 ROSEDALE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6001
Practice Address - Country:US
Practice Address - Phone:713-661-8796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT09088173C00000X
TX174400000X
TXCD(DONA)374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No173C00000XOther Service ProvidersReflexologist
No174400000XOther Service ProvidersSpecialist