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NPI Code Detail

MEDICARE: CHRISTELLE MARIE HERNANDEZ FNP

MEDICARE:   CHRISTELLE MARIE HERNANDEZ  FNP
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
1363LF0000XFamily Nurse PractitionerAP130560TX

General Provider Information

NPI Number : 1497101356
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTELLE MARIE HERNANDEZ FNP
Provider Business Mailing Address
First Line : 11476 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3656
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11476 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3656
Country : US
Telephone Number : 713-486-6325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2016
Last Update Date : 01/03/2024

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Directions to “ CHRISTELLE MARIE HERNANDEZ FNP” Practice Location

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