Most Relevant Information
Provider Data
| NPI Number: | 1326041377 |
| Provider Name: | CHARLES LAWSON HEATON M. D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | F4061 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 08/09/2023 |
Provider Practice Location
3415 GOLDEN RD
TYLER
TX
757018355
Practice Location Phone/Fax
| Phone: | 9035260444 |
| Fax: | 9035262051 |
Provider Mailing Location
3415 GOLDEN RD
TYLER
TX
757018355
Provider Mailing Phone/Fax
| Phone: | 9035260444 |
| Fax: | 9035262051 |