Individual
DR. PETER SIMON HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5200
(915) 215-8640
Mailing address
5130 GATEWAY BLVD E, EL PASO, TX 79905-1608
(915) 215-4828
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E3304
TX
207ND0900X
Dermatopathology Physician
207N10002X
TX
207ND0900X
Dermatopathology Physician
E3304
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
E3304
TX
207NP0225X
Pediatric Dermatology Physician
E3304
TX
207NS0135X
Procedural Dermatology Physician
E3304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P2920
BCBS
TX
Enumeration date
08/19/2005
Last updated
10/16/2025
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