Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | K5995 | TX |
NPI | 1013005982 |
---|---|
Provider Name | Dr. Frances B Herbert |
First Address | Dallas, TX 75391-1238 |
Second Address | Plano, TX 75093-5371 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 17/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G75259 | (02) | MT |