Provider Demographics
NPI:1922758010
Name:HEIGHTS, RUBEN EDWARD
Entity Type:Individual
Prefix:
First Name:RUBEN
Middle Name:EDWARD
Last Name:HEIGHTS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3510
Mailing Address - Country:US
Mailing Address - Phone:254-466-4732
Mailing Address - Fax:
Practice Address - Street 1:1101 ARROW POINT DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7737
Practice Address - Country:US
Practice Address - Phone:254-466-4732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15057101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)