MEDICARE: JIAHE HE

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1508797531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIAHE HE

Provider Business Mailing Address
First Line	:	5702 MELROSE AVE
Second Line	:	#E19
City	:	SAN ANGELO
State	:	TX
Zip	:	76901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4251 SUNSET DR STE 200
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-5653
Country	:	US
Telephone Number	:	325-716-4788
Fax Number	:

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

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ JIAHE HE ” Practice Location

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