Organization
HERLIHY CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES EDWARD HERLIHY, JR. M.D. (PRESIDENT)
(817) 442-0200
Entity
Organization
Contact information
Practice address
1695 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6424
(817) 442-0200
(817) 442-0204
Mailing address
1695 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6424
(817) 442-0200
(817) 442-0204
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
04/21/2010
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