Individual
JOHANY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2834
(432) 640-2897
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2834
(432) 640-2897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
048404
CT
207Q00000X
Family Medicine Physician
N7104
TX
208M00000X
Hospitalist Physician
Primary
N7104
TX
Other
Enumeration date
05/16/2008
Last updated
11/26/2014
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