Individual
LUIS HUMBERTO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2204 RIDGEWOOD DR, TYLER, TX 75701-5910
(323) 434-1466
Mailing address
2204 RIDGEWOOD DR, TYLER, TX 75701-5910
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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