Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 23253 | KY |
NPI | 1003017138 |
---|---|
Provider Name | Dr. Alan B Herrman |
First Address | Arlington, TX 76018-1004 |
Second Address | Arlington, TX 76018-1004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |