Individual
DR. MAYRENA ISAMAR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH, ATC, LAT
Contact information
Practice address
7201 LAKE JACKSON DR, ARLINGTON, TX 76002-4070
(817) 600-7749
Mailing address
3321 ROLLING VIEW CT, CONROE, TX 77301-2093
(817) 600-7749
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT6669
TX
Other
Enumeration date
08/31/2016
Last updated
01/30/2023
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