Organization Active NPI

Rodolfo a Herrera MD/PA Group

  • Family Medicine Physician
  • Bedford, TX
National Provider Identifier
1558894014
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RODOLFO A HERRERA MD/PA GROUP
Practice address
1305 Airport Fwy Ste 302
Bedford, TX 76021-6604
Phone
(817) 283-6995
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April Vasquez, COO
Title
Cheif Operating Officer
Phone
(214) 780-6434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 302
Bedford, TX 76021-6604

Mailing address

1305 Airport Fwy Ste 302
Bedford, TX 76021-6604
Phone (817) 283-6995

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1558894014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 302",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216604",
            "telephone_number": "817-283-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 302",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216604",
            "telephone_number": "817-283-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO A HERRERA MD/PA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-780-6434",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.