Provider Demographics
NPI:1821102096
Name:MYERS, HEATHER JANAY (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:JANAY
Last Name:MYERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:963 NOBLE CHAMPIONS WAY
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-6382
Mailing Address - Country:US
Mailing Address - Phone:214-636-3913
Mailing Address - Fax:
Practice Address - Street 1:1596 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3393
Practice Address - Country:US
Practice Address - Phone:972-829-4865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9819207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A0462OtherBCBS
TX116989801Medicaid
TXP00367542OtherRAILROAD
TX8A0462OtherBCBS