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Individual

SANDRA HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6200 I-40 W, AMARILLO, TX 79106-2512
(806) 354-9764
(806) 355-2728
Mailing address
6200 I-40 W, AMARILLO, TX 79106-2512
(806) 354-9764
(806) 355-2728

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
696817
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217391601
TX
Enumeration date
10/20/2010
Last updated
04/07/2011
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