Provider Demographics
NPI:1518968809
Name:HERPIN, ANNE-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:
Last Name:HERPIN
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 1:1111 HWY 6
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4916
Mailing Address - Country:US
Mailing Address - Phone:281-491-0909
Mailing Address - Fax:281-491-0712
Practice Address - Street 1:1111 HWY 6
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4916
Practice Address - Country:US
Practice Address - Phone:281-491-0909
Practice Address - Fax:281-491-0712
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-08-28
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
TXL1884207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8A3058Medicare ID - Type Unspecified
TXH55843Medicare UPIN