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Individual

IRENE HERNAEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
16659 SOUTHWEST FWY, SUITE 201, SUGAR LAND, TX 77479-2375
(281) 937-0077
(877) 231-0556
Mailing address
PO BOX 16903, SUGAR LAND, TX 77496-6903
(281) 937-0077
(877) 231-0556

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1382
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0071CT
BCBS
TX
05
092739402
TX
01
42627
AMERIGROUP
TX
01
7620022
AETNA
TX
Enumeration date
07/22/2005
Last updated
09/17/2014
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