Individual
BRENT HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13376 RESEARCH BLVD STE 110, AUSTIN, TX 78750-2257
(512) 324-8355
Mailing address
13376 RESEARCH BLVD STE 110, AUSTIN, TX 78750-2257
(512) 324-8355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
S2794
TX
390200000X
Student in an Organized Health Care Education/Training Program
10056854
TX
Other
Enumeration date
05/11/2016
Last updated
07/19/2019
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