Individual provider · NPI-1

Karla Magdalena Herrera

Technician/Technologist, Optician · El Paso, TX

NPI number1740563774
StatusActive
Last updated in NPPESSep 26, 2011

Details

NPI
1740563774
Entity type
Individual (NPI-1)
Name
Karla Magdalena Herrera
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 26, 2011
Last updated
Sep 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician159327TXYes

Practice location

2400 Texas Ave
El Paso, TX 79901-2123

Phone 915-727-8165

Mailing address

2400 Texas Ave
El Paso, TX 79901-2123

Phone 915-727-8165

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