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NPI Code Detail

MEDICARE: SARAH C HERNANDEZ

MEDICARE: SARAH C 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
1106S00000XBehavior TechnicianTX

General Provider Information

NPI Number : 1912841115
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH C HERNANDEZ
Provider Business Mailing Address
First Line : 5402 JOE HERRERA DR
Second Line :
City : EL PASO
State : TX
Zip : 79924-7225
Country : US
Telephone Number : 915-873-1204
Fax Number :
Provider Business Practice Location Address
First Line : 5402 JOE HERRERA DR
Second Line :
City : EL PASO
State : TX
Zip : 79924-7225
Country : US
Telephone Number : 915-873-1204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ SARAH C HERNANDEZ ” Practice Location

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