Provider Demographics
NPI:1467542746
Name:HERRMAN, KRISTY (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:
Last Name:HERRMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W 38TH ST
Mailing Address - Street 2:NEONATOLOGY OFFICE 8TH FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-324-1086
Mailing Address - Fax:512-324-1089
Practice Address - Street 1:1201 W 38TH ST
Practice Address - Street 2:NEONATOLOGY OFFICE 8TH FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-324-1086
Practice Address - Fax:512-324-1089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL87292080N0001X
NC2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine