Individual
DR. MARIA CLARISSA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5327 N CENTRAL EXPY STE 300, DALLAS, TX 75205-3380
(214) 219-5880
(214) 219-5881
Mailing address
5327 N CENTRAL EXPY STE 300, DALLAS, TX 75205-3380
(214) 219-5880
(214) 219-5881
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD431628
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD431628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195632801
—
TX
05
—
195632802
—
TX
01
—
50069653
CAPITAL BLUE CROSS
PA
01
—
8BL180
BCBSTX
TX
Enumeration date
02/13/2007
Last updated
03/20/2014
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