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Individual

JOHN BRADFIELD HEINRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 N CENTRAL EXPY STE 130, DALLAS, TX 75243-3758
(214) 265-3260
(214) 265-3261
Mailing address
PO BOX 676928, DALLAS, TX 75267-6928
(214) 265-3260
(972) 294-3343

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01064754A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
M4142
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204220202
TX
05
204220203
TX
01
8AD834
BCBS
TX
Enumeration date
05/10/2007
Last updated
08/11/2023
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