Provider Demographics
NPI:1659549277
Name:HEU MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:HEU MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-618-0686
Mailing Address - Street 1:1735 VILLA AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-2443
Mailing Address - Country:US
Mailing Address - Phone:559-353-3953
Mailing Address - Fax:559-261-2610
Practice Address - Street 1:1735 VILLA AVE STE 102
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-2443
Practice Address - Country:US
Practice Address - Phone:559-353-3953
Practice Address - Fax:559-261-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-16
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH55003Medicare UPIN