Provider Demographics
NPI:1386961720
Name:HERRERA, HENRY ROBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:ROBERT
Last Name:HERRERA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6139
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6139
Mailing Address - Country:US
Mailing Address - Phone:956-362-3636
Mailing Address - Fax:956-362-2699
Practice Address - Street 1:5520 LEONARDO DA VINCI
Practice Address - Street 2:STE 100
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1422
Practice Address - Country:US
Practice Address - Phone:956-362-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3347207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357916101Medicaid
TX357916101Medicaid