Individual
BAINE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 SOUTH 31ST STREET, MS-A1-202, TEMPLE, TX 76508
(254) 724-1695
Mailing address
2401 SOUTH 31ST STREET, MS-A1-202, TEMPLE, TX 76508
(254) 724-1695
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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