Provider Demographics
NPI:1386645752
Name:HERMAN, KAREN LEORA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEORA
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2100 N MESA
Mailing Address - Street 2:PETER S HERMAN MD PA
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3312
Mailing Address - Country:US
Mailing Address - Phone:915-544-3800
Mailing Address - Fax:915-544-3008
Practice Address - Street 1:2100 N MESA
Practice Address - Street 2:PETER S HERMAN MD PA
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3312
Practice Address - Country:US
Practice Address - Phone:915-544-3800
Practice Address - Fax:915-544-3008
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8209207Q00000X
TX0101056185207N00000X, 207NI0002X, 207NS0135X, 207NP0225X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P2921OtherBLUE X BLUE SHIELD
TX8C7888Medicare PIN
TXG298364Medicare UPIN