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Organization

STEPHANIE HERRERA, M.D AND ASSOCIATES, PA

Active
Other names
Lake Jackson Ear, Nose and Throat
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE JO HERRERA M.D. (OWNER)
(979) 299-1520
Entity
Organization

Contact information

Practice address
215 OAK DR S STE F, LAKE JACKSON, TX 77566-5617
(979) 299-1520
(979) 299-1421
Mailing address
215 OAK DR S STE F, LAKE JACKSON, TX 77566-5617
(979) 299-1520
(979) 299-1421

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TX
231H00000X
Audiologist
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
284422701
TX
Enumeration date
07/26/2011
Last updated
01/18/2023
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