HERRERA MEDICAL GROUP PLLC (NPI# 1508410846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508410846 |
| Entity Type | Organization |
| Organization Name | HERRERA MEDICAL GROUP PLLC |
| Other Organization Name | REGENERATIVE CARE INSTITUTE |
| Practice Address |
1305 Airport Fwy Ste 302 Bedford TX 76021-6604 |
| Mailing Address |
571 W Main St Ste 120 Lewisville TX 75057-3667 |
| Practice Telephone | 8172836995 |
| Practice Fax Number | 8179527011 |
| Mailing Telephone | 9724367531 |
| Mailing Fax Number | 9724366114 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DR. RODOLFO A HERRERA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9724367531 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Regenerative Care Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 571 W Main St Ste 120, Lewisville, TX 750573667 | 9724367531 | 9724366114 |
| Street Address |
1305 AIRPORT FWY STE 302 |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912091208 | Don Maurice West | Rehabilitation Practitioner | 1305 Airport Fwy Ste 302, Bedford, TX 76021-6604 | 2006-10-03 |
| 1245705383 | Nicolina Egydia Mboya | Nurse Practitioner | 1305 Airport Fwy Ste 302, Bedford, TX 76021 | 2018-10-04 |
| 1558894014 | Rodolfo A Herrera Md/pa Group | Family Medicine | 1305 Airport Fwy Ste 302, Bedford, TX 76021-6604 | 2017-04-11 |
| 1154524668 | Rodolfo Alberto Herrera | Family Medicine | 1305 Airport Fwy Ste 302, Bedford, TX 76021-6604 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1073884383 | Pain Solutions Pllc | Pain Medicine | 21 Eastman Ave, Bedford, NH 03110-6744 | 2012-01-18 |
| 1750443693 | Metroplex Pain Management, P.a. | Pain Medicine | 1600 Central Dr, Suite 160, Bedford, TX 76022-6000 | 2006-12-15 |
| 1881773828 | Patrick Kevin Stanton | Pain Medicine | 1600 Central Dr, Suite 160, Bedford, TX 76022-6000 | 2006-11-02 |
| 1679593891 | Jerry Michael Stanton | Pain Medicine | 1600 Central Dr, Suite 160, Bedford, TX 76022-6000 | 2006-07-20 |
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|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 1013575653 | University Pain Pllc | Pain Medicine | 4 Stillforest St, Houston, TX 77024-7518 | 2019-05-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.