DOCTORMOMMD PEDIATRICS PLLC NPI 1720403371

NPI Information

NPI: 1720403371
Provider Name: DOCTORMOM,MD PEDIATRICS PLLC

Doing Business As: DR. LISA HERRIN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
712 SW WILSHIRE BLVD
BURLESON, TX
ZIP 76028
Phone: (817) 426-0757
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DOCTORMOM,MD PEDIATRICS PLLC is a primary care clinic center in Burleson, TX. DOCTORMOM,MD PEDIATRICS PLLC NPI is 1720403371. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr. Lisa Herrin.

The provider's business location address is:

712 SW WILSHIRE BLVD
BURLESON, TX
ZIP 76028-711
Phone: (817) 426-0757
Fax: (817) 426-4109

The provider's authorized official is Lisa J Herrin .
The authorized official title is Owner/physican and has the following contact phone number (817) 426-0757.

The enumeration date for this NPI number is 2/19/2014 and was last updated on 2/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	H4400	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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