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NPI Code Detail

MEDICARE: SYLVIA HERRERA MPT

MEDICARE: SYLVIA HERRERA MPT
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
1225100000XPhysical Therapist1135721TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093727935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVIA HERRERA MPT
Provider Business Mailing Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-781-2901
Fax Number : 915-772-1424
Provider Business Practice Location Address
First Line : 6028 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2024
Country : US
Telephone Number : 915-781-2901
Fax Number : 915-772-1424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 07/09/2007

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Directions to “ SYLVIA HERRERA MPT” Practice Location

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