Individual
DR. JARED HEATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17510 HUFFMEISTER RD, SUITE 105, CYPRESS, TX 77429-6785
(281) 849-4080
Mailing address
12247 QUEENSTON BLVD, STE D, HOUSTON, TX 77095-6785
(281) 849-4080
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P1324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10037986
TEXAS MEDICAL BOARD PIT NUMBER
—
Enumeration date
04/27/2010
Last updated
11/17/2021
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