Benjamin Stuardo Herrera

NPI #1154892172 in Lindale, Texas

Provider Information

NPI Number: 1154892172
Entity Type: Individual
Name: Benjamin Stuardo Herrera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 616 N MAIN ST STE A
City: Lindale
State: Texas
ZIP Code: 75771-6426
Phone: (903) 882-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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