Individual
DEBRA RENE HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-4332
Mailing address
13607 BARROW OAK, SAN ANTONIO, TX 78247-3530
(210) 491-0182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05945
TX
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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