Provider Demographics
NPI:1578505293
Name:TARA HEYLIGER, D.O., P.A.
Entity Type:Organization
Organization Name:TARA HEYLIGER, D.O., P.A.
Other - Org Name:WOMAN2WOMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:AYODELLE
Authorized Official - Last Name:HEYLIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-246-2273
Mailing Address - Street 1:2410 ROUND ROCK AVE
Mailing Address - Street 2:STE 230
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4003
Mailing Address - Country:US
Mailing Address - Phone:512-246-2273
Mailing Address - Fax:512-246-2274
Practice Address - Street 1:2410 ROUND ROCK AVE
Practice Address - Street 2:STE 230
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4003
Practice Address - Country:US
Practice Address - Phone:512-246-2273
Practice Address - Fax:512-246-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2644207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty