Individual
DR. DAVID L HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 TEXAN TRL STE 200, CORPUS CHRISTI, TX 78411-2551
(361) 808-7200
(361) 653-0431
Mailing address
1500 WILDCAT DR, SUITE H, PORTLAND, TX 78374-2826
(361) 777-3330
(361) 777-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L8073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671455
—
TX
Enumeration date
12/20/2006
Last updated
03/26/2025
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