Individual
MAURO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 S. 1ST ST, APT. 918, AUSTIN, TX 78748
(917) 916-1936
Mailing address
500 N CAPITAL OF TEXAS HWY, BLDG. 6 SUITE 125, AUSTIN, TX 78746-3302
(512) 201-4042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT041388
TX
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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