Individual
JAVIER SAMUEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1200 GOLDEN KEY CIR STE 331, EL PASO, TX 79925-5891
(915) 790-3471
(915) 581-6324
Mailing address
1200 GOLDEN KEY CIR STE 331, EL PASO, TX 79925-5891
(915) 790-3471
(915) 591-5567
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC9979
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682
NM DC LICENSE
NM
01
—
DC9979
STATE LISCENCE NUMBER
TX
Enumeration date
10/14/2005
Last updated
09/30/2024
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