Individual
EYVONNE HEROD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4632 NE STALLINGS DR, NACOGDOCHES, TX 75965-1608
(936) 560-1816
(936) 560-3554
Mailing address
512 PLEASANT LN, NACOGDOCHES, TX 75964-6014
(936) 560-0453
(936) 559-8767
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013660
TX
Other
Enumeration date
01/16/2006
Last updated
07/08/2007
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