Individual
TOMAS C. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-3253
(316) 962-2152
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-3253
(316) 962-2152
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
53-75528-091
KS
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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