# MI CLINICA HISPANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093525206
- **Authorized official:** ALAINA HERNANDEZ FNP-C (NURSE PRACTITIONER)
- **Authorized official phone:** (903) 710-1400

## Contact information

- **Practice address:** 3505 SUMMERHILL RD STE 5, TEXARKANA, TX 75503-3596
- **Practice address phone:** (903) 710-1400
- **Practice address fax:** (903) 710-1500
- **Mailing address:** 3505 SUMMERHILL RD STE 5, TEXARKANA, TX 75503-3596
- **Mailing address phone:** (903) 710-1400
- **Mailing address fax:** (903) 710-1500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 03/03/2025