Individual
JACK N HEHMEYER
Active
Individual
JACK N HEHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N4180
BLUE CROSS
TX
01
—
970025486
RAILROAD MEDICARE
—
01
—
PA-193
LICENSE
AR
Enumeration date
09/22/2005
Last updated
03/26/2008
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