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1831741271
EIVY TATIANA HERRERA
PLANO, TX
NPI
1831741271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA12864)
Enumeration Date
2019-07-16
Last Update Date
2019-12-09
Business Address
EIVY TATIANA HERRERA PA-C
6124 W PARKER RD STE 530
PLANO, TX 75093-8140
Phone number: 469-916-0087
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Mailing Address
EIVY TATIANA HERRERA PA-C
9024 SAGEWOOD DR APT 9101
FORT WORTH, TX 76177-2285
Phone number:
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