Provider Demographics
NPI:1245319664
Name:HERRERA, JAVIER ALEJANDRO (NP)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ALEJANDRO
Last Name:HERRERA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11872 STONE CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2622
Mailing Address - Country:US
Mailing Address - Phone:915-491-8434
Mailing Address - Fax:
Practice Address - Street 1:11872 STONE CASTLE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2622
Practice Address - Country:US
Practice Address - Phone:915-491-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily