Individual
LAWRENCE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
259 BASSWOOD DR, SAN ANTONIO, TX 78213-2902
(210) 430-4875
Mailing address
259 BASSWOOD DR, SAN ANTONIO, TX 78213-2902
(210) 430-4875
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
173417
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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