Individual
DR. JOSEPH W. HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 CRESCENT DR, BELTON, TX 76513-6730
(254) 931-9802
Mailing address
1030 CRESCENT DR, BELTON, TX 76513-6730
(254) 931-9802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M2345
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761629-01
—
TX
01
—
1761629-02
CSHCN
TX
01
—
8S6324
BLUE SHIELD
TX
Enumeration date
04/04/2006
Last updated
08/29/2014
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