Individual
JAMES R. HEERWAGEN
Active
Individual
JAMES R. HEERWAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114070904
—
TX
01
—
200006634
RAILROAD MEDICARE
TX
01
—
8BF129
BLUECROSS
TX
Enumeration date
05/04/2006
Last updated
07/26/2018
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