Individual
LARRY C HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 HILL ST, BASTROP, TX 78602-2525
(512) 772-4887
(877) 583-4093
Mailing address
PO BOX 1890, GONZALES, TX 78629-1390
(830) 672-6511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J2075
TX
208000000X
Pediatrics Physician
MA08356500
NJ
208000000X
Pediatrics Physician
MD427767
PA
208D00000X
General Practice Physician
MA08356500
NJ
208M00000X
Hospitalist Physician
MA08356500
NJ
Other
Enumeration date
04/12/2006
Last updated
05/05/2025
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