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NPI Code Detail

MEDICARE: ELIZABETH HERNANDEZ

MEDICARE: ELIZABETH HERNANDEZ
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
1174400000XSpecialist

General Provider Information

NPI Number : 1750613907
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH HERNANDEZ
Provider Business Mailing Address
First Line : 5850 SAN FELIPE ST
Second Line : #500
City : HOUSTON
State : TX
Zip : 77057-3070
Country : US
Telephone Number : 713-706-6180
Fax Number :
Provider Business Practice Location Address
First Line : 5850 SAN FELIPE ST
Second Line : #500
City : HOUSTON
State : TX
Zip : 77057-3070
Country : US
Telephone Number : 713-706-6180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2010
Last Update Date : 02/12/2010

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Directions to “ ELIZABETH HERNANDEZ ” Practice Location

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