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NPI Code Detail

MEDICARE: CRIS HERNANDEZ

MEDICARE: CRIS 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
11041C0700XClinical Social Worker104611TX

General Provider Information

NPI Number : 1760231179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRIS HERNANDEZ
Provider Business Mailing Address
First Line : 2601 ARROYO AVE APT 237
Second Line :
City : DALLAS
State : TX
Zip : 75219-1877
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 COVEMEADOW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-5407
Country : US
Telephone Number : 945-393-2009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 04/07/2026

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Directions to “ CRIS HERNANDEZ ” Practice Location

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