Individual
CHRISTINE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 887-8155
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(817) 887-8155
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1313159
TX
2251X0800X
Orthopedic Physical Therapist
1313159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313159
TEXAS LICENSE #
TX
Enumeration date
04/24/2019
Last updated
08/03/2022
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