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General NPI Number Information
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NPI Number | 1508078452
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Entity Type | Organization
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Legal Business Name | HERRERA MEDICAL GROUP OF BEDFORD & ASSOCIATES
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 1305 AIRPORT FREEWAY SUITE 302
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City | BEDFORD
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State | TX
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Zip | 76021
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Country | US
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Telephone | 817-283-6995
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Fax | 817-283-6901
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Provider Business Mailing Address
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Address Line | 1305 AIRPORT FWY STE 302A
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City | BEDFORD
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State | TX
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Zip | 76021-6604
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Country | US
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Telephone | 817-283-6995
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Fax | 817-283-2397
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODOLFO A HERRERA
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Credential | MD
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Telephone | 817-283-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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