DAVID HEREDIA MD. PA.
NPI 1740456821
Internal Medicine in Portland, TX

Active since May 07, 2008
1500 WILDCAT DR, SUITE H, PORTLAND, TX 78374(361) 777-3330(361) 777-2811 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Heredia Md. Pa. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID HEREDIA MD. PA. (NPI 1740456821) is a healthcare organization registered as an internal medicine in Portland, Texas and active in the NPI registry since May 2008. The organization lists David Luis Heredia, President, as its authorized official.

NPPES Registry Identity

NPI1740456821
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDAVID HEREDIA MD. PA.
Location Address1500 WILDCAT DR, SUITE HPortland, TX 78374-2825
Mailing Address1500 Wildcat Dr, Suite HPortland, TX 78374-2825 · (361) 777-3330 · Fax (361) 777-2811
Fax(361) 777-2811
Organization SubpartNo
Authorized OfficialDavid Luis HerediaPresident · (361) 229-9116
Enumeration DateMay 7, 2008
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1740456821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L8073
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1500 WILDCAT DR, Portland, TX 78374

Other Identifiers 1

Medicaid196700201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Aid Equipment
1500 WILDCAT DR, STE. B
PORTLAND, TX 78374
Physical Therapist
1500 WILDCAT DR, SUITE H
PORTLAND, TX 78374

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Heredia MD. PA.'s NPI number?

The NPI number for David Heredia MD. PA. is 1740456821. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is David Heredia MD. PA. located?

David Heredia MD. PA. is located at 1500 Wildcat Dr Suite H, Portland, TX 78374. The listed phone number is (361) 777-3330.

What is David Heredia MD. PA.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for David Heredia MD. PA. was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.