Provider Demographics
NPI:1194211698
Name:HERRERA RESEARCH INSTITUTE LLC
Entity Type:Organization
Organization Name:HERRERA RESEARCH INSTITUTE LLC
Other - Org Name:VALLEY SPINE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:765-860-6641
Mailing Address - Street 1:1015 N TEXAS BLVD STE 20B-201
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-4529
Mailing Address - Country:US
Mailing Address - Phone:765-860-6641
Mailing Address - Fax:
Practice Address - Street 1:1330 E 6TH ST STE 101
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6608
Practice Address - Country:US
Practice Address - Phone:765-860-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1193443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty