Healthcare Provider Details

I. General information

NPI: 1033028865
Provider Name (Legal Business Name): ALEJANDRO HERNANDEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 LAS COLINAS BLVD E APT 260
IRVING TX
75039-5549
US

IV. Provider business mailing address

330 LAS COLINAS BLVD E APT 260
IRVING TX
75039-5549
US

V. Phone/Fax

Practice location:
  • Phone: 469-803-0387
  • Fax:
Mailing address:
  • Phone: 469-803-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: