Individual
LUIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
21175 TOMBALL PARKWAY PMB # 122, HOUSTON, TX 77070-1655
(281) 256-5702
Mailing address
21175 TOMBALL PKWY PMB # 122, HOUSTON, TX 77070-1655
(281) 256-5702
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00334
TX
Other
Enumeration date
01/11/2008
Last updated
01/25/2013
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