Healthcare Provider Details

I. General information

NPI: 1710930938
Provider Name (Legal Business Name): MICHAEL S HEINRICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N FOSTER MALDONADO BLVD
EAGLE PASS TX
78852-5893
US

IV. Provider business mailing address

223 PARK HILL DR
SAN ANTONIO TX
78212-2513
US

V. Phone/Fax

Practice location:
  • Phone: 210-776-3640
  • Fax:
Mailing address:
  • Phone: 210-776-3640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberM3253
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberM3253
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberM3253
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: