Healthcare Provider Details

I. General information

NPI: 1881309516
Provider Name (Legal Business Name): JOSEFINA HERNANDEZ GARCIA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7430 REMCON CIR BLDG B
EL PASO TX
79912-3525
US

IV. Provider business mailing address

13313 CANDACE LN
HORIZON CITY TX
79928-7154
US

V. Phone/Fax

Practice location:
  • Phone: 915-401-8999
  • Fax: 888-658-3640
Mailing address:
  • Phone: 915-449-3623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1103011
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: