Heritage Innovations LLC

NPI #1407497936 in Houston, Texas

Provider Information

NPI Number: 1407497936
Entity Type: Organization
Organization Name: Heritage Innovations LLC
Primary Specialty: Physician Assistant
Enumeration Date: Oct 7, 2019
Last Updated: Nov 24, 2020

Practice Location

Address: 7700 MAIN ST STE 365
City: Houston
State: Texas
ZIP Code: 77030-4456
Phone: (346) 250-2595

Authorized Official

Name: MR. EDGAR TIJERINA
Title: BILLING ANALYST
Phone: (713) 805-5027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Orthopaedic Surgery	207X00000X
Physician Assistant	363A00000X	Primary

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