Dr. Lisa J Herrin
Pediatrician Pediatric Emergency Physician
712 Sw Wilshire Blvd
Burleson
, Texas 76028-5711
Dr. Lisa J Herrin
Pediatrician Pediatric Emergency Physician
712 Sw Wilshire Blvd
Burleson
, Texas 76028-5711
(817) 568-5474
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Lisa J Herrin
- Po Box 6278
- Fort Worth, TX
- Zip : 76115-0278
- Fax : (817) 568-5474
- Phone : (817) 568-4556
Second Address
- Dr. Lisa J Herrin
- 712 Sw Wilshire Blvd
- Burleson, TX
- Zip : 76028-5711
- Fax : (817) 426-4109
- Phone : (817) 426-0757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | H4400 | TX |
| Y | 208000000X | Pediatrician | H4400 | TX |
National Provider Identifier
| NPI | 1366535445 |
|---|---|
| Provider Name | Dr. Lisa J Herrin |
| First Address | Fort Worth, TX 76115-0278 |
| Second Address | Burleson, TX 76028-5711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 31/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0087LE | BCBSTX GRP PIN (01) | TX |
| 1003887985 | GRP NPI NUMBER (01) | |
| 132731409 | (05) | TX |
| 132731411 | (05) | TX |
| 140442857 | (05) | TX |
| 163314101 | (05) | TX |
| 1729016 | FIRSTHEALTH PIN (01) | TX |
| 4586688 | AETNA PIN (01) | TX |
| 6811699 | CIGNA PIN (01) | TX |
| 8M3077 | BCBSTX IND PIN (01) | TX |
| 9057411 | PHCS PIN (01) | TX |
| E55988 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.