MEDICARE: NELLY A HEIMAN 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	207V00000X	Obstetrics & Gynecology Physician	MD493362	PA
2	207V00000X	Obstetrics & Gynecology Physician	M5750	TX
3	207VX0000X	Obstetrics Physician	1026272	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8FX376	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033326103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELLY A HEIMAN MD

Provider Business Mailing Address
First Line	:	18220 STATE HIGHWAY 249 STE 475
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1052
Country	:	US
Telephone Number	:	281-737-1320
Fax Number	:	281-737-1321

Provider Business Practice Location Address
First Line	:	18220 TOMBALL PKWY
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77070-4347
Country	:	US
Telephone Number	:	281-737-1320
Fax Number	:	281-737-1321

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/13/2026

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Directions to “ NELLY A HEIMAN MD” Practice Location

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