Most Relevant Information
Provider Data
| NPI Number: | 1003815614 |
| Provider Name: | GARY ROBERT HERRON D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 16841 |
Most Important Dates
| Enumeration Date: | 07/15/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
6611 E HIGHWAY 290
AUSTIN
TX
787231134
Practice Location Phone/Fax
| Phone: | 5124593821 |
| Fax: |
Provider Mailing Location
12712 SCOFIELD FARMS DR
AUSTIN
TX
787274539
Provider Mailing Phone/Fax
| Phone: | 5127195089 |
| Fax: |