Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | R4849 | TX |
NPI | 1003260217 |
---|---|
Provider Name | Andrew Herman |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 11/02/2022 |