Provider Demographics
NPI:1972250611
Name:HECKART, JAMES PATRICK (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PATRICK
Last Name:HECKART
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E OVILLA RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3885
Mailing Address - Country:US
Mailing Address - Phone:469-505-4080
Mailing Address - Fax:
Practice Address - Street 1:309 E OVILLA RD STE 1100
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3885
Practice Address - Country:US
Practice Address - Phone:469-505-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1358352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist