Healthcare Provider Details

I. General information

NPI: 1255248084
Provider Name (Legal Business Name): VALERIE ELIZA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 SNAKE RIVER RD STE E
KATY TX
77449-7749
US

IV. Provider business mailing address

2610 HUCKLEBERRY LN
PASADENA TX
77502-5434
US

V. Phone/Fax

Practice location:
  • Phone: 281-789-8970
  • Fax:
Mailing address:
  • Phone: 832-720-2213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC02269
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: