Provider Demographics
NPI:1033326103
Name:HEIMAN, NELLY ARIELLE (MD)
Entity Type:Individual
Prefix:
First Name:NELLY
Middle Name:ARIELLE
Last Name:HEIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 STATE HIGHWAY 249 STE 475
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1052
Mailing Address - Country:US
Mailing Address - Phone:281-737-1320
Mailing Address - Fax:281-737-1321
Practice Address - Street 1:18220 TOMBALL PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4347
Practice Address - Country:US
Practice Address - Phone:281-737-1320
Practice Address - Fax:281-737-1321
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5750207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190002902Medicaid
TX359727001Medicaid
TX8FX376OtherBLUE CROSS BLUE SHIELD
TX8FX376OtherBLUE CROSS BLUE SHIELD
TXTXB119498Medicare PIN