Provider Demographics
NPI:1891969655
Name:ANNA H. HEISSER, MD, PA
Entity Type:Organization
Organization Name:ANNA H. HEISSER, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HEISSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-481-0388
Mailing Address - Street 1:702 TREATY OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3181
Mailing Address - Country:US
Mailing Address - Phone:210-481-0388
Mailing Address - Fax:210-481-0388
Practice Address - Street 1:5788 ECKHERT RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3900
Practice Address - Country:US
Practice Address - Phone:210-699-2298
Practice Address - Fax:210-699-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5114261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA