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NPI Code Detail

MEDICARE: EMILY HEERENSPERGER MD

MEDICARE: EMILY HEERENSPERGER 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
1207L00000XAnesthesiology PhysicianT1723TX

General Provider Information

NPI Number : 1720519069
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY HEERENSPERGER MD
Provider Business Mailing Address
First Line : 15775 PARK TEN PL
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5153
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15775 PARK TEN PL
Second Line :
City : HOUSTON
State : TX
Zip : 77084-5153
Country : US
Telephone Number : 281-647-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 06/30/2021

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Directions to “ EMILY HEERENSPERGER MD” Practice Location

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