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Individual

MR. JOSE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT LE CI

Contact information

Practice address
908 STONE CHAPEL WAY, FORT WORTH, TX 76179-7304
(817) 584-0121
Mailing address
908 STONE CHAPEL WAY, FORT WORTH, TX 76179-7304
(817) 584-0121

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123097
TX

Other

Enumeration date
10/06/2023
Last updated
10/06/2023
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