Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP145639 | TX |
NPI | 1013502061 |
---|---|
Provider Name | Rosalinda Herrera |
First Address | Spring, TX 77388-5007 |
Second Address | Houston, TX 77089-6071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2021 |
Last Update Date | 02/03/2021 |