Herrada, Juan

Herrada, Juan is an individual health care provider with primary practice located at 7848 Gateway Blvd E , El Paso TX 79915-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Herrada, Juan can be contacted via phone (915) 599-1313.

Contact Information

Primary practice address
7848 Gateway Blvd E El Paso TX 79915-1815
Phone: (915) 599-1313
Fax: (915) 599-1635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J2449 Texas

Profile Details

NPI number 1215934674
LBN Legal business name Herrada, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 28th, 2008 - about 18 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 1215934674 NPPES
New Mexico MEDICAID 000K3572

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