Individual
LIZZA B HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4502 MEDICAL DR FL 10, SAN ANTONIO, TX 78229-4402
(210) 358-2590
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2590
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365280202
—
TX
01
—
365280203
CSHCN
TX
Enumeration date
12/04/2015
Last updated
11/21/2017
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