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Contact Information

JOHN C HERNDON III, MD
12222 MERIT DR STE 600
DALLAS, TX75284-6533
 Phone: 972-715-5000
 Fax: 972-715-9976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN C HERNDON III · (Male)

NPI Number 1689676744
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2005
Last updated 07/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # H4399
  • TX Medicaid 120424006
  • TX Medicaid 120424008
  • TX Medicaid 120424009
  • TX Medicaid 120424010
  • TX Medicaid 120424011
  • TX Other 8BJ007 BCBS
  • TX Other P00754972 RAILROAD
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
  • BAYLOR UNIVERSITY MEDICAL CENTER - (Acute Care)
    3500 GASTON AVE
    DALLAS, TX 75246
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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