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Organization
HERRERA MEDICAL GROUP OF LEWISVILLE & ASSOCIATES
Active
Organization
HERRERA MEDICAL GROUP OF LEWISVILLE & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO ALBERTO HERRERA MD (OWNER)
(972) 436-7531
Entity
Organization
Contact information
Practice address
571 W MAIN ST STE 120, LEWISVILLE, TX 75057
(972) 221-3500
Mailing address
571 W MAIN ST STE 120, LEWISVILLE, TX 75057-3667
(972) 436-7531
(972) 436-6114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
03/13/2007
Last updated
03/25/2020
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