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Individual

MR. ANTHONY JOHN HERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9929 S PADRE ISLAND DR STE 109, CORPUS CHRISTI, TX 78418-5148
(361) 937-2121
(718) 640-2713
Mailing address
3933 UP RIVER RD, CORPUS CHRISTI, TX 78408-3020
(361) 882-1001
(361) 882-1040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01865
TX
363AS0400X
Surgical Physician Assistant
PA01865
TX

Other

Enumeration date
09/07/2005
Last updated
07/29/2020
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