Provider Demographics
NPI:1568793594
Name:HERRERA, TERESA MUNOZ (MSW)
Entity Type:Individual
Prefix:MISS
First Name:TERESA
Middle Name:MUNOZ
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 WESTOVER CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-2248
Mailing Address - Country:US
Mailing Address - Phone:210-535-1116
Mailing Address - Fax:
Practice Address - Street 1:2709 WESTOVER CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-2248
Practice Address - Country:US
Practice Address - Phone:210-535-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker