Individual
DR. LISA J HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4200 SOUTH FWY STE 100, FORT WORTH, TX 76115-1407
(817) 750-7334
Mailing address
14100 SAN PEDRO AVE STE 600, SAN ANTONIO, TX 78232-4363
(210) 981-1975
(817) 568-5474
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
H4400
TX
208000000X
Pediatrics Physician
Primary
H4400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087LE
BCBSTX GRP PIN
TX
01
—
1003887985
GRP NPI NUMBER
—
05
—
132731409
—
TX
05
—
132731411
—
TX
05
—
140442857
—
TX
05
—
163314101
—
TX
01
—
1729016
FIRSTHEALTH PIN
TX
01
—
4586688
AETNA PIN
TX
01
—
6811699
CIGNA PIN
TX
01
—
8M3077
BCBSTX IND PIN
TX
01
—
9057411
PHCS PIN
TX
Enumeration date
10/02/2006
Last updated
04/14/2023
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