Individual
LARRY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
888 S GREENVILLE AVE STE 207, RICHARDSON, TX 75081-5044
(972) 899-3473
(469) 784-9424
Mailing address
4214 HIGH STAR LN, DALLAS, TX 75287-6624
(972) 603-8953
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058565
TX
Other
Enumeration date
08/23/2020
Last updated
04/21/2023
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