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NPI Code Detail

MEDICARE: ISSAC LUIS HERNANDEZ LSA

MEDICARE: ISSAC LUIS HERNANDEZ LSA
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
1246ZC0007XSurgical AssistantSA01014TX

General Provider Information

NPI Number : 1841971926
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISSAC LUIS HERNANDEZ LSA
Provider Business Mailing Address
First Line : 126 CYPRESS CT
Second Line :
City : SAN MARCOS
State : TX
Zip : 78666-3080
Country : US
Telephone Number : 512-665-8158
Fax Number :
Provider Business Practice Location Address
First Line : 214 RILEY LN
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624-3562
Country : US
Telephone Number : 214-227-2457
Fax Number : 214-764-0880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 04/15/2026

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Directions to “ ISSAC LUIS HERNANDEZ LSA” Practice Location

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