Individual
DAMIAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9613 BRENDEN DR, FORT WORTH, TX 76108-3884
(682) 321-4860
Mailing address
9613 BRENDEN DR, FORT WORTH, TX 76108-3884
(682) 321-4860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2159998
TX
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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