Most Relevant Information
Provider Data
| NPI Number: | 1003317744 |
| Provider Name: | HEIDI DEARBORN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | DO2964 |
Most Important Dates
| Enumeration Date: | 02/27/2018 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
1100 WILFORD HALL LOOP
JBSA LACKLAND
TX
782365638
Practice Location Phone/Fax
| Phone: | 2102925350 |
| Fax: |
Provider Mailing Location
7300 RANCH ROAD 2222, BUILDING 1, STE 200
AUSTIN
TX
78730
Provider Mailing Phone/Fax
| Phone: | 5126280465 |
| Fax: |