Individual
BENITA ANITA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 AVENUE Q, LUBBOCK, TX 79412-2700
(806) 762-3597
(806) 762-8816
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(803) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
848911
TX
363LF0000X
Family Nurse Practitioner
Primary
1012439
TX
Other
Enumeration date
08/26/2020
Last updated
03/19/2021
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