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Organization
HERITAGE INNOVATIONS LLC
Active
Organization
HERITAGE INNOVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR TIJERINA (BILLING ANALYST)
(713) 805-5027
Entity
Organization
Contact information
Practice address
7700 MAIN ST STE 365, HOUSTON, TX 77030-4456
(346) 250-2595
Mailing address
7700 MAIN ST STE 365, HOUSTON, TX 77030-4456
(346) 250-2595
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
11/24/2020
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