Individual
SAMANTHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 MONTANA AVE STE A, EL PASO, TX 79902-5510
(915) 307-5796
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1059619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP1059619
LICENSE
TX
Enumeration date
11/27/2021
Last updated
10/16/2025
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