| Stephanie Herrera, M.d And Associates, Pa | |
|
215 Oak Dr S Ste F, Lake Jackson, TX 77566-5617 | |
| (979) 299-1520 | |
| (979) 299-1421 |
| Full Name | Stephanie Herrera, M.d And Associates, Pa |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology |
| Location | 215 Oak Dr S Ste F, Lake Jackson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841578754 | NPI | - | NPPES |
| 284422701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (Texas) | Secondary |
| 207Y00000X | Otolaryngology | (Texas) | Primary |
| Provider Name | Stephanie Jo Herrera |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245534064 PECOS PAC ID: 2466621206 Enrollment ID: I20110811000438 |
| Provider Name | Rachel Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948693 PECOS PAC ID: 5597076059 Enrollment ID: I20150624002571 |
| Provider Name | Shiane Marie Lubin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558669663 PECOS PAC ID: 8628253549 Enrollment ID: I20160315002327 |
| Provider Name | Laura Wakefield Howe |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376778498 PECOS PAC ID: 3072874387 Enrollment ID: I20180301001996 |
| Provider Name | Janzen Viator |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912575234 PECOS PAC ID: 9830592286 Enrollment ID: I20230824004346 |
| Provider Name | Lucretia Sheree' Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235998741 PECOS PAC ID: 0840639365 Enrollment ID: I20240417001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Herrera, M.d And Associates, Pa 215 Oak Dr S Ste F, Lake Jackson, TX 77566-5617 Ph: (979) 299-1520 | Stephanie Herrera, M.d And Associates, Pa 215 Oak Dr S Ste F, Lake Jackson, TX 77566-5617 Ph: (979) 299-1520 |