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Individual

SHANDA LEIGH HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1631 11TH ST, WICHITA FALLS, TX 76301-4322
(940) 687-5000
Mailing address
5201 CENTRAL FWY APT 304, WICHITA FALLS, TX 76306-1381

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TX

Other

Enumeration date
06/26/2017
Last updated
07/20/2017
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