Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | ME 125945 | FL |
Y | 2080P0202X | Pediatric Cardiologist | N8403 | TX |
NPI | 1194992594 |
---|---|
Provider Name | Dr. Carrie Evans Herbert |
First Address | Dallas, TX 75230-2563 |
Second Address | Saint Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 04/01/2022 |