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NPI Code Detail

MEDICARE: ANDREA HERRERA HIS

MEDICARE:   ANDREA  HERRERA  HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistSAH-2026-0110NM

General Provider Information

NPI Number : 1194652594
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA HERRERA HIS
Provider Business Mailing Address
First Line : 2001 E LOHMAN AVE STE 112
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3198
Country : US
Telephone Number : 575-232-9022
Fax Number : 575-288-2701
Provider Business Practice Location Address
First Line : 2001 E LOHMAN AVE STE 112
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3198
Country : US
Telephone Number : 575-232-9022
Fax Number : 575-288-2701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 06/03/2026

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Directions to “ ANDREA HERRERA HIS” Practice Location

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