EIVY TATIANA HERRERA

PLANO, TX
NPI1831741271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA12864)
Enumeration Date2019-07-16
Last Update Date2019-12-09
Business Address
EIVY TATIANA HERRERA PA-C
6124 W PARKER RD STE 530
PLANO, TX 75093-8140
Phone number: 469-916-0087
Mailing Address
EIVY TATIANA HERRERA PA-C
9024 SAGEWOOD DR APT 9101
FORT WORTH, TX 76177-2285
Phone number:
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