Healthcare Provider Details

I. General information

NPI: 1710476551
Provider Name (Legal Business Name): MARIA GUADALUPE PALMA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 SAN FELIPE ST STE 990
HOUSTON TX
77063-1708
US

IV. Provider business mailing address

14801 STATE HIGHWAY 160 SPC 37
ISLETON CA
95641-9782
US

V. Phone/Fax

Practice location:
  • Phone: 281-826-3382
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: