Individual
CARLOS ENRIQUE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
702 E EXPY 83 STE A6, DONNA, TX 78537-2742
(956) 420-1802
(956) 420-1804
Mailing address
702 E EXPRESSWAY 83 STE A6, DONNA, TX 78537-2742
(956) 420-1802
(956) 420-1804
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217504
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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