Provider Demographics
NPI:1558793190
Name:CAPPS, HEATHER RENEE (PA-C)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:RENEE
Last Name:CAPPS
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1790 N STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7437
Mailing Address - Country:US
Mailing Address - Phone:972-390-9002
Mailing Address - Fax:214-491-3777
Practice Address - Street 1:1005 W RALPH HALL PKWY STE 207
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6662
Practice Address - Country:US
Practice Address - Phone:972-483-9228
Practice Address - Fax:972-330-8808
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2023-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA 08465363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant