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Individual

JOHN HERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2606 HOSPITAL BLVD, CORPUS CHRISTI, TX 78405-1804
(361) 902-4000
Mailing address
PO BOX 849894, DALLAS, TX 75284-0001
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
222713-1
NY
207P00000X
Emergency Medicine Physician
34007799
OH
207P00000X
Emergency Medicine Physician
Primary
K7761
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148591402
TX
Enumeration date
09/20/2006
Last updated
02/19/2008
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