NPI age
9 years
Enumerated 2017-01-27
● Active
Type 1 · Individual
MR. Dale Heathcock
Heathcock is 1 of 3 clinic/center providers in Lake Jackson and 1 of 492 in Texas.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-01-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 492 active clinic/center providers in Texas.
NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-01Enumerated in NPPES
2017
2026
Where they practice
Practice location
107 W Way St, Suite 19-20
Lake Jackson, TX 775665219
Mailing address
2502 Platinum Chase Dr
Rosharon, TX 775833275
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.