Herlong, Homer

Herlong, Homer is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Herlong, Homer can be contacted via phone (614) 648-6936.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390
Phone: (614) 648-6936
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 40471 South Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D23650 Maryland
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X P4764 Texas

Profile Details

NPI number 1699725366
LBN Legal business name Herlong, Homer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699725366 NPPES
Texas MEDICAID 324869201 (MDACC)
Texas Other 8DN730
Texas MEDICAID 988751200
Texas Other P01230052
Texas MEDICAID 404716

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