DR. GARY A HEREDIA (NPI# 1508270695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508270695 |
| Entity Type | Individual |
| Full Name | DR. GARY A HEREDIA |
| Credential | DPM |
| Practice Address |
1151 N Buckner Blvd Ste 304 Dallas TX 75218-3405 |
| Practice Telephone | 2146600777 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2251 | TX | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5901002530 | MI | Student, Health Care |
| Street Address |
1151 N BUCKNER BLVD STE 304 |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022595 | Comfort Podiatry, Pa | Podiatrist | 1151 N Buckner Blvd Ste 304, Professional, Dallas, TX 75218-3405 | 2008-01-17 |
| 1578868303 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 1151 N Buckner Blvd Ste 304, Professional Bldg. 1, Dallas, TX 75218-3405 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316297 | Interventional Partners LLC | Podiatrist | 9401 Lbj Fwy Ste 320, Dallas, TX 75243-4546 | 2020-02-03 |
| 1447781281 | Patrick Wylie Burge | Podiatrist | 1130 Beachview St Ste 200, Dallas, TX 75218-3705 | 2017-03-23 |
| 1134352289 | Kellvan J Cheng, Dpm, Pa | Podiatrist | 4222 Trinity Mills Road, 112, Dallas, TX 75287-7603 | 2009-08-24 |
| 1558500801 | Kennedy Legel | Podiatrist | 4228 N Central Expy Ste 210, Dallas, TX 75206-6556 | 2009-02-10 |
| 1508002320 | Richard Manuel Duran | Podiatrist | 1400 Hi Line Dr Apt 2015, Dallas, TX 75207-3451 | 2008-12-29 |
| 1023271202 | Joseph L Yeargain | Podiatrist | 3801 Gaston Ave Ste 330, Dallas, TX 75246-1500 | 2008-07-08 |
| 1306019799 | Ashton Podiatry Associates, P.a. | Podiatrist | 6500 E Mockingbird Ln, Dallas, TX 75214-2497 | 2008-04-08 |
| 1851562649 | Dallas Foot and Ankle Specialists,pa | Podiatrist | 3600 Gaston Ave Ste 402, Dallas, TX 75246-1804 | 2008-03-19 |
| 1578731204 | Family Foot Clinic, P.C. | Podiatrist | 221 West Colorado, Suite 340, Dallas, TX 75208 | 2008-02-15 |
| 1568665438 | Ashton Podiatry Associates, P.a. | Podiatrist | 11613 N Central Expwy, #121, Dallas, TX 75243-3842 | 2007-06-07 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DR. GARY A HEREDIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.