Provider Demographics
NPI:1518934819
Name:HEATH, ALLAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:CHRISTOPHER
Last Name:HEATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7557 RAMBLER RD
Mailing Address - Street 2:#616
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4142
Mailing Address - Country:US
Mailing Address - Phone:214-696-5015
Mailing Address - Fax:214-696-2977
Practice Address - Street 1:7557 RAMBLER RD
Practice Address - Street 2:#616
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4142
Practice Address - Country:US
Practice Address - Phone:214-696-5015
Practice Address - Fax:214-696-2977
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK14672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09709560ZMedicaid
TX351935ZG0JMedicare UPIN
G38977Medicare UPIN