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Individual

JAMES R. HEERWAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028
(972) 420-1776
(972) 436-6996
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 436-6996

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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