MEDICARE: JAIME ROBERTO HERRERA M.D.

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
1	207P00000X	Emergency Medicine Physician	R0020	TX
2	208000000X	Pediatrics Physician	R0020	TX

General Provider Information

NPI Number	:	1518209238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME ROBERTO HERRERA M.D.

Provider Business Mailing Address
First Line	:	655 YALE ST APT 341
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-2844
Country	:	US
Telephone Number	:	631-258-3147
Fax Number	:

Provider Business Practice Location Address
First Line	:	5230 ALDINE MAIL RTE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-3804
Country	:	US
Telephone Number	:	281-598-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	07/25/2024

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