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Individual

DR. JAMES WALDO HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
314 E TWOHIG AVE, SAN ANGELO, TX 76903-5502
(325) 653-6944
(325) 658-6500
Mailing address
3018 PALO DURO DR, SAN ANGELO, TX 76904-7433
(325) 949-8671
(325) 658-6500

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D9492
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00JT67
BLUE CROSS ID
TX
05
130369502
TX
Enumeration date
11/22/2005
Last updated
07/07/2010
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