David Loyd Vanderheiden I, D.O.
Family Medicine in Corpus Christi, TX. Individual provider (NPI-1).
NPI number1790779247
StatusActive
Last updated in NPPESMar 8, 2017
Details
- NPI
- 1790779247
- Entity type
- Individual (NPI-1)
- Name
- David Loyd Vanderheiden I
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2005
- Last updated
- Mar 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | H8480 | TX | Yes |
Practice location
4818 Holly RdSuite A
Corpus Christi, TX 78411-4734
Phone 361-993-1747 · Fax 361-993-1748
Mailing address
4818 Holly RdSuite A
Corpus Christi, TX 78411-4734
Phone 361-993-1747 · Fax 361-993-1748
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