Individual
MICHELLE ANNA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2739 BABCOCK RD, SAN ANTONIO, TX 78229-4811
(210) 616-3250
Mailing address
3508 DARTMOUTH CV, SCHERTZ, TX 78154-3614
(210) 215-0811
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
211043
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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