Individual
DR. CHASE ALEXANDER HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
815 S PINE ST, VIVIAN, LA 71082-3353
(318) 375-3239
(318) 375-2755
Mailing address
815 S PINE ST, VIVIAN, LA 71082-3314
(183) 375-3235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
331859
LA
207Q00000X
Family Medicine Physician
Primary
331859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2522817
—
LA
01
—
331859
MEDICAL LICENSE NUMBER
LA
Enumeration date
03/30/2020
Last updated
09/08/2023
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