Healthcare Provider Details

I. General information

NPI: 1528214822
Provider Name (Legal Business Name): ALMA HERNANDEZ O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 03/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 NORTH LOOP W STE 260
HOUSTON TX
77008-1398
US

IV. Provider business mailing address

1919 NORTH LOOP W STE 260
HOUSTON TX
77008-1398
US

V. Phone/Fax

Practice location:
  • Phone: 713-869-2020
  • Fax: 713-869-1964
Mailing address:
  • Phone: 713-869-2020
  • Fax: 713-869-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA2111
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: