Individual
DR. GARY A HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3550 PARKWOOD BLVD STE 702, FRISCO, TX 75034-1920
(972) 559-0051
Mailing address
3550 PARKWOOD BLVD STE 702, FRISCO, TX 75034-1920
(972) 559-0051
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2251
TX
390200000X
Student in an Organized Health Care Education/Training Program
5901002530
MI
Other
Enumeration date
06/17/2014
Last updated
11/29/2021
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