Healthcare Provider Details

I. General information

NPI: 1508770256
Provider Name (Legal Business Name): CELESTE HERNANDEZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 E 33RD ST APT 1
AUSTIN TX
78705-2492
US

IV. Provider business mailing address

302 E 33RD ST APT 1
AUSTIN TX
78705-2492
US

V. Phone/Fax

Practice location:
  • Phone: 707-479-1556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: