Herrera, Eivy Tatiana
Herrera, Eivy Tatiana is an individual health care provider with primary practice located at 6124 W Parker Rd Ste 530 , Plano TX 75093-8140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Herrera, Eivy Tatiana can be contacted via phone (469) 916-0087.Contact Information
Primary practice address
6124 W Parker Rd Ste 530
Plano TX 75093-8140
Phone: (469) 916-0087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA12864 | Texas |
Profile Details
| NPI number | 1831741271 |
|---|---|
| LBN Legal business name | Herrera, Eivy Tatiana |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2019 |
| Last updated | Dec 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831741271 | NPPES |
| Texas | Other | PA12864 | PA LICENSE |
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