Individual
DR. JUAN HERRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 599-1313
(915) 599-1635
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J2449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3572
—
NM
Enumeration date
06/30/2005
Last updated
02/28/2008
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