Provider Demographics
NPI:1710680020
Name:HEINIG, DIANA (NEWBORN CARE SPECIAL)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:HEINIG
Suffix:
Gender:F
Credentials:NEWBORN CARE SPECIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 CHAPARRAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:MANCHACA
Mailing Address - State:TX
Mailing Address - Zip Code:78652-4111
Mailing Address - Country:US
Mailing Address - Phone:512-200-5757
Mailing Address - Fax:
Practice Address - Street 1:2308 CHAPARRAL PARK RD
Practice Address - Street 2:
Practice Address - City:MANCHACA
Practice Address - State:TX
Practice Address - Zip Code:78652-4111
Practice Address - Country:US
Practice Address - Phone:512-200-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula