Provider Demographics
NPI:1326692351
Name:HERRERA, STEVEN GOMEZ SR (LPO, BOCPO)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GOMEZ
Last Name:HERRERA
Suffix:SR
Gender:M
Credentials:LPO, BOCPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7410 JOHN SMITH DR STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6000
Mailing Address - Country:US
Mailing Address - Phone:210-481-4473
Mailing Address - Fax:210-481-4479
Practice Address - Street 1:7410 JOHN SMITH DR STE 213
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6000
Practice Address - Country:US
Practice Address - Phone:210-481-4473
Practice Address - Fax:210-481-4479
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1142222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist