Individual
DANIEL RAYMOND HEIDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
11450 US HIGHWAY 380 STE 130404, CROSS ROADS, TX 76227-8315
(214) 227-2457
(214) 764-0880
Mailing address
11450 US HIGHWAY 380 STE 130, CROSSROADS, TX 76227-8322
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
177997
TX
Other
Enumeration date
05/12/2023
Last updated
09/04/2024
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