Individual
DR. JAMES ROBERT HERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E6094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020MH
BLUECROSS/BLUE SHIELD
TX
01
—
4204684
AETNA #
TX
Enumeration date
06/10/2006
Last updated
07/08/2007
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