| Doctor Name: | DR. MAXIMILIANO J HERRERA |
| NPI Number: | 1285865238 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | EO243 |
| Business Practice Address: | 700 Flournoy Rd Suite 2a Alice, TX - 783324003 |
| Business Phone Number: | 3616641417 |
| Business Fax Number: | 3616643218 |
| Mailing Address: | 204 E 1st St, ALICE |
| State: | TX |
| Postal Code: | 783324822 |
| Phone Number: | 3613960370 |
| Fax Number: | 3616642248 |
| NPI Enumeration Date: | 08/06/2009 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | EO243 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |