Provider Demographics
NPI:1396785887
Name:TEJEDA, HERIBERTO ALFREDO (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:HERIBERTO
Middle Name:ALFREDO
Last Name:TEJEDA
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:PO BOX 61160
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-1160
Mailing Address - Country:US
Mailing Address - Phone:361-884-2904
Mailing Address - Fax:361-857-0572
Practice Address - Street 1:600 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2235
Practice Address - Country:US
Practice Address - Phone:361-884-2904
Practice Address - Fax:361-857-0572
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK8518207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042930003Medicaid
TX042930003Medicaid
TX8K2548Medicare PIN