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NPI Code Detail

MEDICARE: JUDI HERNANDEZ LVN

MEDICARE:   JUDI  HERNANDEZ  LVN
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
1164X00000XLicensed Vocational Nurse181106TX

General Provider Information

NPI Number : 1376020784
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDI HERNANDEZ LVN
Provider Business Mailing Address
First Line : 4919 CONNORVALE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77039-3742
Country : US
Telephone Number : 281-590-6120
Fax Number :
Provider Business Practice Location Address
First Line : 4919 CONNORVALE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77039-3742
Country : US
Telephone Number : 281-590-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2018
Last Update Date : 07/27/2018

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Directions to “ JUDI HERNANDEZ LVN” Practice Location

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