Individual
PENELOPE ANNE HERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2275
NE
Other
Enumeration date
04/13/2019
Last updated
07/28/2024
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