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Eivy Tatiana Herrera, PA-C
Medical Physician Assistant in Plano, Texas
NPI 1831741271

Eivy Tatiana Herrera is a Medical Physician Assistant based in Fort Worth, TX and is specialized in Medical. Eivy Tatiana Herrera practices in Plano, TX and has the professional credentials of PA-C. The NPI Number for Eivy Tatiana Herrera is 1831741271 and holds a License No. PA12864 (Texas).

The current practice location address for Eivy Tatiana Herrera is 6124 W Parker Rd Ste 530, Plano, TX and can be reached out via phone at 469-916-0087.

Location: 6124 W Parker Rd Ste 530, Plano, TX, 76177-2285
person
Provider Profile Details
NPI Number
1831741271
Provider Name
Eivy Tatiana Herrera
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6124 W Parker Rd Ste 530, Plano, TX, 76177-2285
Phone Number
469-916-0087
Fax Number
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA12864 01 TX PA LICENSE
institution
Provider Business Practice Location Address Details
Address
6124 W Parker Rd Ste 530
City
State
Zip
75093-8140
Phone Number
469-916-0087
Fax Number
person
Provider Business Mailing Address Details
Address
6124 W Parker Rd Ste 530
City
State
Zip
75093-8140
Phone Number
469-916-0087
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA12864 (Texas)
Definition
Definition to come...
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