Organization
JAMES R HEERWAGEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R HEERWAGEN MD (MD)
(972) 420-1776
Entity
Organization
Contact information
Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086RJ
BLUECROSS
TX
05
—
197769601
—
TX
01
—
DN8554
RAILROAD MEDICARE
TX
Enumeration date
03/04/2008
Last updated
10/13/2021
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