Individual
MARICELA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8035 E RL THRTN FWY STE 233, DALLAS, TX 75228-1001
(214) 321-4210
Mailing address
3713 N. O'CONNOR, IRVING, TX 75062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
500245
TX
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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