Individual
ANDREA LYNN HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4532 N MESA ST STE 2A, EL PASO, TX 79912-6287
(915) 544-0326
(915) 544-2897
Mailing address
PO BOX 3157, EL PASO, TX 79923-3157
(915) 577-0051
(915) 577-0054
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204786202
—
TX
Enumeration date
07/28/2009
Last updated
08/11/2020
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