| Lynette Herrera, | |
|
19010 Preist Blvd, Lytle, TX 78052-3486 | |
| (830) 772-9865 | |
| Not Available |
| Full Name | Lynette Herrera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19010 Preist Blvd, Lytle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174397996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1176228 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 707382 (Texas) | Secondary |
| Entity Name | Atascosa Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750364998 PECOS PAC ID: 3779579412 Enrollment ID: O20040420001663 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynette Herrera, 310 W Oaklawn Rd, Pleasanton, TX 78064-4033 Ph: (830) 569-8940 | Lynette Herrera, 19010 Preist Blvd, Lytle, TX 78052-3486 Ph: (830) 772-9865 |
Hayden Ruiz, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19965 Fm 3175, Lytle, TX 78052 Phone: 210-357-0335 | |
Craig Anthony Marshall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 462 Wildflower Dr, Lytle, TX 78052 Phone: 210-396-2732 | |
Mr. Aaron Christopher Hoffmann, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19010 Preist Blvd, Lytle, TX 78052 Phone: 830-772-9865 | |
Ms. Guadalupe Rodriguez Rios, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19010 Preist Blvd, Lytle, TX 78052 Phone: 830-772-9865 Fax: 830-772-9821 |