Heredia, Gary A
Heredia, Gary A is an individual health care provider with primary practice located at 3550 Parkwood Blvd Ste 702 , Frisco TX 75034-1920. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Heredia, Gary A can be contacted via phone (972) 559-0051.Contact Information
Primary practice address
3550 Parkwood Blvd Ste 702
Frisco TX 75034-1920
Phone: (972) 559-0051
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 5901002530 | Michigan |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 2251 | Texas |
Profile Details
NPI number | 1508270695 |
---|---|
LBN Legal business name | Heredia, Gary A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2014 |
Last updated | Nov 29th, 2021 - about 4 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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