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General NPI Number Information
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NPI Number | 1548152622
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Entity Type | Organization
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Legal Business Name | CLINICA HISPANA NORTH RICHLAND HILLS LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 6601 BOULEVARD 26 STE 102
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1571
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Country | US
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Telephone | 682-626-5369
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 BOULEVARD 26 STE 102
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1571
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Country | US
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Telephone | 682-626-5369
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | MARIBEL JACOBO HERNANDEZ
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Credential |
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Telephone | 786-368-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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