Individual
MRS. SUSAN HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
21402 MEADOWHILL DR, SPRING, TX 77388-3345
(281) 642-3808
(281) 528-7587
Mailing address
21402 MEADOWHILL DR, SPRING, TX 77388-3345
(281) 642-3808
(281) 954-9716
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00500
TMB
TX
Enumeration date
02/22/2012
Last updated
04/14/2015
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