Provider Demographics
NPI:1033573274
Name:HERRERA-MURILLO, JESUS (MD)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:
Last Name:HERRERA-MURILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 REMCON CIR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3529
Mailing Address - Country:US
Mailing Address - Phone:915-407-2027
Mailing Address - Fax:915-225-2206
Practice Address - Street 1:7420 REMCON CIR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3529
Practice Address - Country:US
Practice Address - Phone:915-532-8823
Practice Address - Fax:915-225-2206
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9311208800000X
TXBP10056087390200000X
NMMD2021-0007208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program