# HERITAGE INNOVATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407497936
- **Authorized official:** MR. EDGAR TIJERINA (BILLING ANALYST)
- **Authorized official phone:** (713) 805-5027

## Contact information

- **Practice address:** 7700 MAIN ST STE 365, HOUSTON, TX 77030-4456
- **Practice address phone:** (346) 250-2595
- **Mailing address:** 7700 MAIN ST STE 365, HOUSTON, TX 77030-4456
- **Mailing address phone:** (346) 250-2595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2019
- **Last updated:** 11/24/2020