Provider Demographics
NPI:1942057476
Name:JUAREZ, HERMINIA ERMELINDA (DC)
Entity type:Individual
Prefix:DR
First Name:HERMINIA
Middle Name:ERMELINDA
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 TOWNE HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3525
Mailing Address - Country:US
Mailing Address - Phone:972-375-3074
Mailing Address - Fax:
Practice Address - Street 1:4702 NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4912
Practice Address - Country:US
Practice Address - Phone:972-270-5333
Practice Address - Fax:972-270-5335
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor