Individual
DR. JEFFREY W. HEITKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 W INTERSTATE 20 UNIT G10, ARLINGTON, TX 76017-5871
(817) 274-4593
(817) 274-4098
Mailing address
PO BOX 152679, ARLINGTON, TX 76015-8679
(817) 274-4593
(817) 274-4098
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
F4064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FM69
MEDICARE
TX
01
—
0610290
AETNA
TX
01
—
314595
CIGNA
TX
01
—
80A470
BCBS OF TEXAS
TX
Enumeration date
10/14/2005
Last updated
01/20/2021
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