Heritage Network Physician

NPI 1023249919 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1023249919
Enumeration Date 07/27/2009
Last Updated 09/18/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EDWARD W EDWARD
Position PRESIDENT
Phone (682) 626-5488
Fax (817) 665-2974
Practice Location
800 MOUNTAIN TER
HURST TX, 76053-4210, US
Phone (682) 626-5488
Fax (817) 665-2974
Business Location
800 MOUNTAIN TER
HURST TX, 76053-4210, US
Phone (682) 626-5488
Fax (817) 665-2974
Toxanomy
Taxonomy Code 207X00000X
License State Texas
License Number E1757
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According to our database, Heritage Network Physician NPI is 1023249919, taxonomy code is 207X00000X and license number is E1757, license state is located at Texas. Heritage Network Physician physically located at 800 Mountain Ter, Hurst TX, 76053-4210. NPI Number 1033115704 has the healthcare provider type.

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1023249919 NPI number is provided on an as is basis without warranty of any kind. 1023249919 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Network Physician are for informational purposes only.