Individual
JESUS R. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
8503 MYSTIC PARK, SAN ANTONIO, TX 78254-2544
(210) 256-0906
Mailing address
4423 JESSE BOWMAN, SAN ANTONIO, TX 78253-5024
(210) 338-5727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109417
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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