Provider Demographics
NPI:1386858405
Name:HEARTFIELD E LINN MD PA
Entity Type:Organization
Organization Name:HEARTFIELD E LINN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LINN
Authorized Official - Last Name:HEARTFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-899-7113
Mailing Address - Street 1:2955 HARRISON ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1154
Mailing Address - Country:US
Mailing Address - Phone:409-899-7113
Mailing Address - Fax:409-899-8561
Practice Address - Street 1:2955 HARRISON ST
Practice Address - Street 2:SUITE 320
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1154
Practice Address - Country:US
Practice Address - Phone:409-899-7113
Practice Address - Fax:409-899-8561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD3887207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty