Provider Demographics
NPI:1720227572
Name:HERRERA, CARMEN M (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:M
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:909 FROSTWOOD DR STE 1.100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-4523
Mailing Address - Fax:713-338-5500
Practice Address - Street 1:7789 SOUTHWEST FWY STE 350
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1831
Practice Address - Country:US
Practice Address - Phone:713-778-4450
Practice Address - Fax:713-778-4441
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2012-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN1678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine