Individual
DR. MILTON BOYD HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO PA
Contact information
Practice address
886 SIERRA DR, PORT NECHES, TX 77651-5607
(406) 729-6401
(409) 729-6015
Mailing address
886 SIERRA DR, PORT NECHES, TX 77651-5607
(406) 729-6401
(409) 729-6015
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G9118
TX
207YS0123X
Facial Plastic Surgery Physician
Primary
G9118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120264005
—
TX
05
—
168285801
—
TX
Enumeration date
07/13/2006
Last updated
06/09/2014
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