Provider Demographics
NPI:1750448825
Name:HERMES, DANA F (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:F
Last Name:HERMES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2657 BLUMBERG PARK
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-3003
Mailing Address - Country:US
Mailing Address - Phone:830-534-1414
Mailing Address - Fax:830-372-0510
Practice Address - Street 1:301 N AUSTIN ST STE 402
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5506
Practice Address - Country:US
Practice Address - Phone:830-534-1414
Practice Address - Fax:830-372-0510
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC5264OtherSTATE CHIROPRACTIC LIC. #