Dr. Lisa J Herrin
MD | Pediatrics | Female
Dr. Lisa J Herrin, MD is a Fort Worth, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Lisa J Herrin is
4200 South Fwy Ste 100, Fort Worth, Texas - 76115-1407. She can be contacted on phone at
817-750-7334.
Dr. Lisa J Herrin is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa J Herrin is
1366535445 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 14 Apr, 2023.
Dr. Lisa J Herrin license number is
H4400 for Pediatrics (208000000X) in Texas.
Dr. Lisa J Herrin is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Lisa J Herrin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Lisa J Herrin |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Lisa J Herrin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4200 South Fwy Ste 100
Fort Worth, TX, 76115-1407
United States |
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| Phone Number : | 817-750-7334 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366535445 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Oct, 2006 |
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| Last Updated On : | 14 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa J Herrin are as mentioned. Primary taxonomy code for Dr. Lisa J Herrin, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine, Pediatric Emergency Medicine | No | H4400 | TX |
| 208000000X | Pediatrics | Yes | H4400 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lisa J Herrin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0087LE | Other (non-Medicare) | TX | BCBSTX GRP PIN |
| 1003887985 | Other (non-Medicare) | | GRP NPI NUMBER |
| 132731409 | MEDICAID | TX | |
| 132731411 | MEDICAID | TX | |
| 140442857 | MEDICAID | TX | |
| 163314101 | MEDICAID | TX | |
| 1729016 | Other (non-Medicare) | TX | FIRSTHEALTH PIN |
| 4586688 | Other (non-Medicare) | TX | AETNA PIN |
| 6811699 | Other (non-Medicare) | TX | CIGNA PIN |
| 8M3077 | Other (non-Medicare) | TX | BCBSTX IND PIN |
| 9057411 | Other (non-Medicare) | TX | PHCS PIN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
712 SW WILSHIRE BLVD,
BURLESON, TX, 76028-5711
United States | BURLESON, TX | 817-426-0757 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 14100 San Pedro Ave Ste 600
San Antonio, TX, 78232-4363
United States |
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| Phone Number : | 210-981-1975 |
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| Fax Number : | 817-568-5474 |
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Business Location:
Patients can refer following map for directions to
Dr. Lisa J Herrin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.