Provider Demographics
NPI:1649212853
Name:HECK, TONIA DENISE (PA)
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:DENISE
Last Name:HECK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10308 BYWAY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6914
Mailing Address - Country:US
Mailing Address - Phone:915-591-5090
Mailing Address - Fax:
Practice Address - Street 1:11410 VISTA DEL SOL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-5331
Practice Address - Country:US
Practice Address - Phone:915-592-6269
Practice Address - Fax:915-592-8847
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA03562363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant