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Individual

FERNANDO HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2020 NASA PARKWAY, SUITE 2020, NASSAU BAY, TX 77058
(281) 333-5114
Mailing address
2020 NASA PARKWAY, SUITE 2020, NASSAU BAY, TX 77058
(281) 333-5114

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
96741
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
96741
NATL CERT SURGICAL TECH
TX
Enumeration date
03/28/2007
Last updated
07/08/2007
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