Individual
DWIGHT B HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 N HIGHLAND AVE, SHERMAN, TX 75092-7354
(903) 870-4494
Mailing address
119 W HOUSTON ST, SHERMAN, TX 75090-5909
(903) 891-7000
(903) 813-1479
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
700502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165451902
—
TX
05
—
165451903/165451904
—
TX
01
—
84813U
BLUE CROSS BLUE SHIELD
TX
01
—
89509U
BCBS
TX
01
—
P00220867
RAILROAD MEDICARE
TX
Enumeration date
07/05/2006
Last updated
06/29/2016
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