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NPI Code Detail

MEDICARE: ELEANOR HERPECHE

MEDICARE: ELEANOR HERPECHE
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
1363LF0000XFamily Nurse PractitionerAP141910TX
2363L00000XNurse Practitioner37414TN
3363LF0000XFamily Nurse Practitioner854721TX

General Provider Information

NPI Number : 1255991089
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELEANOR HERPECHE
Provider Business Mailing Address
First Line : 201 S OAKRIDGE DR
Second Line :
City : HUDSON OAKS
State : TX
Zip : 76087-1793
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 S OAKRIDGE DR
Second Line :
City : HUDSON OAKS
State : TX
Zip : 76087-1793
Country : US
Telephone Number : 817-599-5518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2019
Last Update Date : 02/23/2026

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Directions to “ ELEANOR HERPECHE ” Practice Location

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