Jean M Herzog NP

NPI 1366591810 - Physician Assistant - 363A00000X

NPI Details
NPI 1366591810
Gender Female
Enumeration Date 01/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3000 HERRING AVE
WACO TX, 76708-3239, US
Phone (254) 776-6426
Fax
Business Location
529 COUNTY ROAD 379
LOTT TX, 76656-3844, US
Phone (254) 584-4891
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number 249578
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According to our database, Ms. Jean M Herzog NP NPI is 1366591810, taxonomy code is 363A00000X and license number is 249578, license state is located at Texas. Jean M Herzog NP physically located at 3000 Herring Ave, Waco TX, 76708-3239. NPI Number Jean M Herzog NP has the Individual type.

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1366591810 NPI number is provided on an as is basis without warranty of any kind. 1366591810 is maintained by the National Plan & Provider Enumeration System. The contents of Jean M Herzog NP are for informational purposes only.