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Organization
PELVIC LAB
Active
Organization
PELVIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE I HERNANDEZ PT, DPT (PHYSICAL THERAPIST)
(469) 844-7933
Entity
Organization
Contact information
Practice address
190 W STATE HIGHWAY 114 STE E, SOUTHLAKE, TX 76092-3612
(469) 844-7933
(682) 345-5081
Mailing address
10685B HAZELHURST DR # 38722, HOUSTON, TX 77043-3238
(469) 844-7933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
07/22/2026
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