Individual
JEFFREY MICHAEL HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 240, DENISON, TX 75020-4587
(903) 416-6260
(903) 416-6261
Mailing address
5012 S US HIGHWAY 75, SUITE 240, DENISON, TX 75020-4587
(903) 416-6260
(903) 416-6261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K2712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170941202
—
TX
01
—
P00812130
RR MEDICARE
TX
Enumeration date
10/11/2006
Last updated
06/30/2010
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