Individual
DR. MARCOM EARL HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4301 MAPLEWOOD AVE, STE A, WICHITA FALLS, TX 76308-3879
(940) 696-8500
(940) 696-8546
Mailing address
4301 MAPLEWOOD AVE, STE A, WICHITA FALLS, TX 76308-3879
(940) 696-8500
(940) 696-8546
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H9988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO80Y0218
—
TX
Enumeration date
07/15/2006
Last updated
07/09/2007
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