MEDICARE: JAMES MEEHAN HENEGHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	N3725	TX
2	2084P0800X	Psychiatry Physician	MD20030787	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447297999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MEEHAN HENEGHAN MD

Provider Business Mailing Address
First Line	:	299 SHADOW MOUNTAIN DR STE C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4748
Country	:	US
Telephone Number	:	915-519-0088
Fax Number	:	915-944-1200

Provider Business Practice Location Address
First Line	:	299 SHADOW MOUNTAIN DR STE C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4748
Country	:	US
Telephone Number	:	915-519-0088
Fax Number	:	915-944-1200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	03/03/2026

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