Provider Demographics
NPI:1912942681
Name:HERRSCHER, OPAL (CNOR, RNFA, BSN)
Entity Type:Individual
Prefix:MRS
First Name:OPAL
Middle Name:
Last Name:HERRSCHER
Suffix:
Gender:F
Credentials:CNOR, RNFA, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77258-8265
Mailing Address - Country:US
Mailing Address - Phone:281-335-0411
Mailing Address - Fax:281-333-1075
Practice Address - Street 1:18306 BLANCHMONT LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3427
Practice Address - Country:US
Practice Address - Phone:281-335-0411
Practice Address - Fax:281-333-1075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX550275363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical