Provider Demographics
NPI:1821273020
Name:HERRERA, MAUREEN ELIZABETH (PA-C)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELIZABETH
Last Name:HERRERA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4400 TEASLEY LN STE 200
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4652
Mailing Address - Country:US
Mailing Address - Phone:940-566-3700
Mailing Address - Fax:940-566-3774
Practice Address - Street 1:4400 TEASLEY LN STE 200
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-4652
Practice Address - Country:US
Practice Address - Phone:940-566-3700
Practice Address - Fax:940-566-3774
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA02882363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant