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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB SAMUEL HEYDEMANN, M.D.

Deactivated Sole Proprietor

DR. JACOB SAMUEL HEYDEMANN, M.D. is a Orthopaedic Surgery healthcare provider located in EL PASO, Texas. NPI 1548263635 is deactivated in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · EL PASO, TX

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1548263635
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2005 (0.81369863013699 yrs)
Last Updated
Mar 4, 2013
Deactivated
Mar 16, 2006
License
F4077 (TX)
Sole Proprietor
Yes

Practice Information

Address
1300 MURCHISON DR
STE 310
EL PASO, TX, 799024851
Browse TX providers · Browse ZIP 79902
Phone
9158383888
Fax
9158383889
Primary Specialty
Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in EL PASO, TX

Name Credential NPI
DR. THOMAS E ALOST M.D. 1508864182
DR. ALVARO A HERNANDEZ M.D. 1013915503
MICHAEL A FALLON MD 1457341810
MR. RANDY J POLLET MD 1437131463
DR. OCTAVIO LICON MD 1629057179
JOHN S JACKSON DO 1689654600
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.