Individual
DR. DANIEL A HEIMBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 AVENUE B, BALLINGER, TX 76821-2406
(325) 365-2531
(325) 365-2662
Mailing address
1506 FLOYD DR, SAN ANGELO, TX 76904-9009
(325) 212-5364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F8153
TX
207Q00000X
Family Medicine Physician
F8153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137702006
—
TX
05
—
137702014
—
TX
01
—
8P9630
BLUE CROSS/BLUESHIELD TX
TX
Enumeration date
04/26/2006
Last updated
01/04/2018
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