Individual
LISA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 E DOVE AVE STE AND202, MCALLEN, TX 78504-4679
(956) 362-8030
(956) 362-8035
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8030
(956) 362-8035
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04908
TX
Other
Enumeration date
09/07/2007
Last updated
06/22/2020
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