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NPI Code Detail

MEDICARE: MICHAEL S HEINRICH M.D.

MEDICARE: MICHAEL S HEINRICH M.D.
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
1207L00000XAnesthesiology PhysicianM3253TX
2207LP2900XPain Medicine (Anesthesiology) PhysicianM3253TX
3174400000XSpecialistM3253TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18V0638OTHERTXBCBSTX

General Provider Information

NPI Number : 1710930938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL S HEINRICH M.D.
Provider Business Mailing Address
First Line : 223 PARK HILL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-2513
Country : US
Telephone Number : 210-776-3640
Fax Number :
Provider Business Practice Location Address
First Line : 3333 N FOSTER MALDONADO BLVD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-5893
Country : US
Telephone Number : 830-752-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/12/2016

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