Individual
KEYRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8QP890
BCBS
TX
Enumeration date
11/12/2021
Last updated
11/15/2021
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