Individual
DR. LETICIA SUSANA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 N. OREGON, SUITE 640, EL PASO, TX 79902
(915) 544-6622
(915) 544-6667
Mailing address
1700 N OREGON ST, STE 640, EL PASO, TX 79902-3582
(915) 533-2806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1412140-01
—
TX
Enumeration date
10/17/2006
Last updated
02/03/2017
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