Individual
DR. JON E HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 GESSNER RD, SUITE 400, HOUSTON, TX 77024-2545
(713) 467-0605
(713) 467-3771
Mailing address
925 GESSNER RD, SUITE 400, HOUSTON, TX 77024-2545
(713) 467-0605
(713) 467-3771
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
F1052
TX
207RI0011X
Interventional Cardiology Physician
Primary
F1052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060012329
RAILROAD MEDICARE
TX
05
—
117615802
—
TX
01
—
74193943977014A001
CHAMPUS
TX
01
—
870932
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
06/25/2015
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