Doctor Name: | STEVEN HERRRERA |
NPI Number: | 1164827036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | AP126148 |
Business Practice Address: | 566 Veterans Dr. South Texas Detention Center Pearsall, TX - 78061 |
Business Phone Number: | 2102314701 |
Business Fax Number: | |
Mailing Address: | 566 Veterans Dr., PEARSALL |
State: | TX |
Postal Code: | 78061 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/04/2014 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP126148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |