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NPI Code Detail

MEDICARE: JACQUELINE HERNANDEZ SLP

MEDICARE: JACQUELINE HERNANDEZ SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1356840060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE HERNANDEZ SLP
Provider Business Mailing Address
First Line : 5604 DAVIS BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 KELLER PKWY
Second Line :
City : KELLER
State : TX
Zip : 76248-2249
Country : US
Telephone Number : 817-581-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2018
Last Update Date : 10/10/2024

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Directions to “ JACQUELINE HERNANDEZ SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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