David L Heredia in Portland - Internal Medicine
David L Heredia - NPI 1104980408
David L Heredia is a Internal Medicine in Portland, Texas. David L Heredia practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for David L Heredia is 1104980408. The last update date is 2009-05-04.
David L Heredia'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 L Heredia is 1500 Wildcat Dr, Portland, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | David L Heredia |
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Address | 1500 Wildcat Dr, Portland, Texas |
Phone Number | 3617773330 |
Fax Number | 3617772811 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1104980408 |
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Provider Enumeration Date | 2006-12-20 |
Last Updated Date | 2009-05-04 |
Provider Mailing Address Detail
Address | 1500 Wildcat Dr |
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City | Portland |
State | Texas (TX) |
Post Code | 783742826 |
Phone Number | 3617773330 |
Fax Number | 3617772811 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | L8073 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1671455 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David L Heredia by the Centers for Medicare & Medicaid Services?
The David L Heredia has been issued the NPI (National Provider Identifier) 1104980408 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where David L Heredia is located?
The David L Heredia is situated at the following address: 1500 Wildcat Dr, Portland, TX, 783742826.
What is David L Heredia's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David L Heredia'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 L Heredia receive its 1104980408 assignment from the Centers for Medicare & Medicaid Services?
The David L Heredia was assigned its 1104980408 by the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information regarding David L Heredia most recently updated?
The details pertaining to the David L Heredia, including its address, specialty, and other relevant information, were last refreshed on 2009-05-04.
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