Individual
GARRETT HERDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2626 N BRYANT BLVD, SAN ANGELO, TX 76903-2861
(256) 581-5113
(325) 481-2166
Mailing address
2626 N BRYANT BLVD, SAN ANGELO, TX 76903-2861
(412) 235-5810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09984
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103342569
—
PA
Enumeration date
08/14/2014
Last updated
05/15/2019
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