Provider Demographics
NPI:1801800966
Name:HEARNE, LINDA S (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:HEARNE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 W COMMERCE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3839
Mailing Address - Country:US
Mailing Address - Phone:210-922-0103
Mailing Address - Fax:210-922-0162
Practice Address - Street 1:333 N SANTA ROSA AVE
Practice Address - Street 2:SUITE 4671
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3108
Practice Address - Country:US
Practice Address - Phone:210-738-8222
Practice Address - Fax:210-738-8644
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TXH2525207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXA007233OtherDPS REGISTRATION
TXA007233OtherDPS REGISTRATION
TXD95813Medicare UPIN
TX8J5195Medicare PIN