Provider Demographics
NPI:1437348190
Name:RON J HEKIER MD PA
Entity Type:Organization
Organization Name:RON J HEKIER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-794-0022
Mailing Address - Street 1:2717 SUMMERHILL RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-3957
Mailing Address - Country:US
Mailing Address - Phone:903-794-0022
Mailing Address - Fax:903-794-0023
Practice Address - Street 1:2717 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-3957
Practice Address - Country:US
Practice Address - Phone:903-794-0022
Practice Address - Fax:903-794-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0061MBOtherBLUE CROSS BLUE SHIELD
AR155948002Medicaid
AR82312OtherBLUE CROSS BLUE SHIELD
TX0031QPOtherBLUE CROSS BLUE SHIELD
TX175534001Medicaid
TX175534001Medicaid
TX00214YMedicare PIN