HEATHER BOWDRE HAGLUND


Address: 5206 Research Dr, San Antonio, TX 78240-5251
Phone: 2105955300

HEATHER BOWDRE HAGLUND (NPI# 1790927382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790927382
Entity Type Individual
Full Name HEATHER BOWDRE HAGLUND
Credential PA-C
Practice Address 5206 Research Dr
San Antonio
TX 78240-5251
Mailing Address Po Box 911230
Dallas
TX 75391-1230
Practice Telephone 2105955300
Practice Fax Number 2105955301
Mailing Telephone 9729978000
Mailing Fax Number 9722340819
Enumeration Date 2009-03-30
Last Update Date 2019-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA06071 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 347376103 05

Office Location

Street Address 5206 RESEARCH DR
City SAN ANTONIO
State TX
Zip Code 78240-5251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273145 Irene Kazhdan Internal Medicine 5206 Research Dr, San Antonio, TX 78240-5251 2005-05-27
1487186508 Ethan E Dubravsky Physician Assistant 5206 Research Dr, San Antonio, TX 78240 2017-03-29
1902346141 Kinneathea Denisha Bennett Nurse Practitioner 5206 Research Dr, San Antonio, TX 78240-5251 2017-03-07
1831544147 Mihaela Damaris Smith Nurse Practitioner 5206 Research Dr, San Antonio, TX 78240-5251 2016-04-25
1619363306 Carolyn Peters Nurse Practitioner 5206 Research Dr, San Antonio, TX 78240-5251 2015-04-09
1639580756 Jennifer Caitlin Lee Radiology 5206 Research Dr, San Antonio, TX 78240-5251 2014-05-12
1699011825 Stacy Nelson Nurse Practitioner 5206 Research Dr, San Antonio, TX 78240 2012-12-16
1487916813 Melissa Ann Crawley Internal Medicine 5206 Research Dr, San Antonio, TX 78240-5251 2012-06-12
1073799219 Carolyn Jean Parke Nurse Practitioner 5206 Research Dr, San Antonio, TX 78240-5251 2008-01-17
1922280650 Erica Carone Physician Assistant 5206 Research Dr, San Antonio, TX 78240 2007-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184285587 Vipulkumar P Prajapati Pathology 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 2019-06-26
1306406202 Gabrielle Nicole Sepulveda Audiologist 21 Spurs Ln Ste 100, San Antonio, TX 78240 2019-06-13
1457919714 Mbg Management Group LLC Hospice Care, Community Based 5460 Babcock Rd., Ste. 120, San Antonio, TX 78240 2019-06-03
1386117901 Kevin M Miles Counselor 4820 Gus Eckert, #510, San Antonio, TX 78240 2019-01-07
1578046926 Hubert Velasco Physical Therapist 5000 Fawn Meadow Lane, San Antonio, TX 78240 2018-09-12
1740767540 Sunshine Pharmacy LLC Pharmacy 8840 Huebner Rd, San Antonio, TX 78240 2018-07-24
1982193132 Fitch Surgical Assisting Group, LLC Specialist/Technologist, Other 6163 John Chapman, San Antonio, TX 78240 2018-05-03
1295243202 Janice Marie Hennon Nurse Practitioner 9910 Huebner Rd., Suite 250, San Antonio, TX 78240 2018-01-12
1891213195 Celina Paras Dietitian, Registered 6234 W. Jolie Ct., San Antonio, TX 78240 2017-09-07
1245757616 Claudia G Valdez Occupational Therapy Assistant 9306 Maverick Pass, San Antonio, TX 78240 2017-08-27
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588284194 Hill Country Surgical Management, Inc Physician Assistant 10454 Tippecanoe, San Antonio, TX 78245-3128 2020-04-23
1700435831 Christina A Vogel-rosbrook Physician Assistant 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 2019-09-11
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1265921126 Ashley L Garcia Physician Assistant 414 W Sunset Rd Ste 205, San Antonio, TX 78209 2018-05-07
1265989958 Liz Ramirez-valencia Physician Assistant 12118 Ridge Court St, San Antonio, TX 78247-3402 2016-09-09
1831645399 Carlos E Martin Colindres Physician Assistant 18211 Bulverde Rd Apt 13207, San Antonio, TX 78259-3720 2016-08-25
1093188559 Padeniran Corp, Pllc Physician Assistant 2313 Lockhill Selma Rd # 158, San Antonio, TX 78230-3007 2015-11-05
1679944631 Elite Surgical Associates of Sa Physician Assistant 20079 Stone Oak Pkwy Ste 1105-482, San Antonio, TX 78258-6942 2015-10-15
1679958680 Lacey Lillian Aguero Physician Assistant 6407 Cougar Vlg, San Antonio, TX 78242 2015-07-21
1447635453 Neuro Precision Assisting, Pllc Physician Assistant 5886 De Zavala Rd, Ste 102 #495, San Antonio, TX 78249-2269 2015-07-21
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Competitor

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City SAN ANTONIO
Zip Code 78240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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