Individual
JOSE LUIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7600 FANNIN ST, HOUSTON, TX 77054-1906
(713) 790-1234
Mailing address
7931 BURNING OAK LN, RICHMOND, TX 77407-3370
(281) 839-5969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
770163
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134285
TX
Other
Enumeration date
02/19/2017
Last updated
07/18/2017
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