David Heredia Md. Pa. in Portland - Internal Medicine
David Heredia Md. Pa. - NPI 1740456821
David Heredia Md. Pa. is a Internal Medicine in Portland, Texas. David Heredia Md. Pa. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David Heredia Md. Pa. is 1740456821. The last update date is 2023-03-28.
David Heredia Md. Pa.'s current location address is 1500 Wildcat Dr, Portland, Texas. You can contact this provider via phone number 3617773330 and fax number 3617772811. The mailing address for David Heredia Md. Pa. is 1500 Wildcat Dr, Portland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David Heredia Md. Pa. |
|---|---|
| Address | 1500 Wildcat Dr, Portland, Texas |
| Phone Number | 3617773330 |
| Fax Number | 3617772811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Heredia Luis David |
| Credentials | M.D. |
| Telephone Number | 3612299116 |
NPI Number Detail
| NPI Number | 1740456821 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 1500 Wildcat Dr |
|---|---|
| City | Portland |
| State | Texas (TX) |
| Post Code | 783742825 |
| Phone Number | 3617773330 |
| Fax Number | 3617772811 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | L8073 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196700201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Heredia Md. Pa. by the Centers for Medicare & Medicaid Services?
The David Heredia Md. Pa. has been issued the NPI (National Provider Identifier) 1740456821 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where David Heredia Md. Pa. is geographically located?
The David Heredia Md. Pa. is physically situated at the following location: 1500 Wildcat Dr, Portland, TX, 783742825.
What is David Heredia Md. Pa.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Heredia Md. Pa.'s specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the David Heredia Md. Pa. receive the assignment of its 1740456821 from the Centers for Medicare & Medicaid Services?
The David Heredia Md. Pa. was issued its 1740456821 by the Centers for Medicare & Medicaid Services on 2008-05-07.
When was the information regarding David Heredia Md. Pa. most recently updated?
The details pertaining to the David Heredia Md. Pa., including its address, specialty, and other relevant information, were last refreshed on 2023-03-28.