Healthcare Provider Details

I. General information

NPI: 1376469403
Provider Name (Legal Business Name): ISABEL HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GOLDEN KEY CIR STE 161
EL PASO TX
79925-5806
US

IV. Provider business mailing address

6893 5TH ST
CANUTILLO TX
79835-6098
US

V. Phone/Fax

Practice location:
  • Phone: 915-317-5121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number43548
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: