Healthcare Provider Details

I. General information

NPI: 1962229906
Provider Name (Legal Business Name): BRENDA GAIL HERNANDEZ DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2024
Last Update Date: 01/09/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 SCHERTZ PKWY STE 150
SCHERTZ TX
78154-1497
US

IV. Provider business mailing address

11311 JANET LEE DR
SAN ANTONIO TX
78230-4229
US

V. Phone/Fax

Practice location:
  • Phone: 210-366-3700
  • Fax:
Mailing address:
  • Phone: 210-380-7483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1180716
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1180716
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: