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NPI Code Detail

MEDICARE: DR. E MATTHEW HEINRICH MD

MEDICARE: DR. E MATTHEW HEINRICH 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
1207X00000XOrthopaedic Surgery PhysicianK7760TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518937952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. E MATTHEW HEINRICH MD
Provider Business Mailing Address
First Line : 4611 GUADALUPE ST
Second Line : #200
City : AUSTIN
State : TX
Zip : 78751-2908
Country : US
Telephone Number : 512-583-4220
Fax Number : 512-583-1099
Provider Business Practice Location Address
First Line : 4611 GUADALUPE ST
Second Line : #200
City : AUSTIN
State : TX
Zip : 78751-2908
Country : US
Telephone Number : 512-583-4220
Fax Number : 512-583-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 07/22/2009

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Directions to “ DR. E MATTHEW HEINRICH MD” Practice Location

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