Individual
DR. JEREMIAH DANIEL HAVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
519 N HEWITT DR, HEWITT, TX 76643-3039
(936) 615-9406
Mailing address
519 N HEWITT DR, HEWITT, TX 76643-3039
(936) 615-9406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q4425
TX
207RC0000X
Cardiovascular Disease Physician
Q4425
TX
207RI0011X
Interventional Cardiology Physician
Primary
Q4425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375991203
—
TX
Enumeration date
06/09/2008
Last updated
03/03/2025
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