Organization
PETER S HERMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SIMON HERMAN MD (PRESIDENT)
(915) 544-3808
Entity
Organization
Contact information
Practice address
2100 N MESA, EL PASO, TX 79902
(915) 544-3800
(915) 544-3008
Mailing address
2100 N MESA, EL PASO, TX 79902-3312
(915) 544-3800
(915) 544-3008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E3304
TX
207ND0900X
Dermatopathology Physician
E3304
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
E3304
TX
207NP0225X
Pediatric Dermatology Physician
E3304
TX
207NS0135X
Procedural Dermatology Physician
E3304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091LT
BCBS
TX
Enumeration date
05/03/2007
Last updated
03/06/2014
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