Individual
ERICA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1631 LANCASTER DR STE 330, GRAPEVINE, TX 76051-3586
(817) 953-3420
(817) 953-3418
Mailing address
9330 LYNDON B JOHNSON FWY STE 800, DALLAS, TX 75243-4310
(972) 792-5700
(817) 953-3418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17586
TX
Other
Enumeration date
01/04/2024
Last updated
04/24/2024
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