Herren, Marcom Earl
Herren, Marcom Earl is an individual health care provider with primary practice located at 4301 Maplewood Ave Ste A, Wichita Falls TX 76308-3879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Herren, Marcom Earl can be contacted via phone (940) 696-8500.Contact Information
Primary practice address
4301 Maplewood Ave Ste A
Wichita Falls TX 76308-3879
Phone: (940) 696-8500
Fax: (940) 696-8546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | H9988 | Texas |
Profile Details
| NPI number | 1326064825 |
|---|---|
| LBN Legal business name | Herren, Marcom Earl |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326064825 | NPPES |
| Texas | MEDICAID | PO80Y0218 |
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