Doctor Name: | MICHAEL F HERRERA |
NPI Number: | 1033478714 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 91915 |
Business Practice Address: | 601 Rockmead Drive Kingwood, TX - 77339 |
Business Phone Number: | 2813595115 |
Business Fax Number: | 2813123800 |
Mailing Address: | 7401 S. Main, Fondren Orthopedic Group L.l.p. HOUSTON |
State: | TX |
Postal Code: | 770304509 |
Phone Number: | 7137992300 |
Fax Number: | 7137943380 |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 91915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |