Organization
DOCTORMOM,MD PEDIATRICS PLLC
Active
Other names
Dr. Lisa Herrin
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J HERRIN MD (OWNER/PHYSICAN)
(817) 426-0757
Entity
Organization
Contact information
Practice address
712 SW WILSHIRE BLVD, BURLESON, TX 76028-5711
(817) 426-0757
(817) 426-4109
Mailing address
712 SW WILSHIRE BLVD, BURLESON, TX 76028-5711
(817) 426-0757
(817) 426-4109
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H4400
TX
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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