Individual
DR. MATTHEW DAVID HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PHARMD
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-3555
Mailing address
980 RAGON RD, HARLETON, TX 75651-3675
(903) 576-2594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
46508
TX
207L00000X
Anesthesiology Physician
02005166A
IN
207L00000X
Anesthesiology Physician
Primary
Q9372
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10046239
TX
Other
Enumeration date
05/11/2012
Last updated
10/15/2025
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