Individual
STACIE LEANN HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 TX-107, LA VILLA, TX 78562
(956) 262-4511
Mailing address
8200 S QUEBEC ST # A3-516, CENTENNIAL, CO 80112-4411
(850) 832-5360
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
247176
AZ
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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