Heredia, Franklin O.

Heredia, Franklin O. is an individual health care provider with primary practice located at 4545 Fuller Drive Suite 325, Irving TX 75038-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heredia, Franklin O. can be contacted via phone (972) 870-5511.

Contact Information

Primary practice address
4545 Fuller Drive Suite 325 Irving TX 75038-6521
Phone: (972) 870-5511
Fax: (972) 870-5512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K4081 Texas

Profile Details

NPI number 1295719870
LBN Legal business name Heredia, Franklin O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295719870 NPPES
Texas MEDICAID 106257209
Texas MEDICAID 106257215
Texas MEDICAID 106257222
Texas Other 84675F
Texas MEDICAID 106257204
Texas MEDICAID 106257205
Texas MEDICAID 106257219
Texas MEDICAID 106257213
Texas MEDICAID 106257207
Texas MEDICAID 106257221
Texas MEDICAID 106257201
Texas MEDICAID 106257211
Texas MEDICAID 106257216
Texas MEDICAID 106257218

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