Stacie Leann Herring
Family Doctor - Adult Medicine
1300 Tx-107
La Villa
, Texas 78562
Stacie Leann Herring
Family Doctor - Adult Medicine
1300 Tx-107
La Villa
, Texas 78562
(850) 832-5360
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Stacie Leann Herring
- 8200 S Quebec St # A3-516
- Centennial, CO
- Zip : 80112-4411
- Phone : (850) 832-5360
Second Address
- Stacie Leann Herring
- 1300 Tx-107
- La Villa, TX
- Zip : 78562
- Phone : (956) 262-4511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 247176 | AZ |
National Provider Identifier
| NPI | 1174139471 |
|---|---|
| Provider Name | Stacie Leann Herring |
| First Address | Centennial, CO 80112-4411 |
| Second Address | La Villa, TX 78562 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2020 |
| Last Update Date | 22/09/2020 |
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.