Individual
JESUS LEONARDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 MEDICAL DRIVE, PEARSALL, TX 78061
(830) 334-4102
Mailing address
8019 SHUMARD OAK DR, SAN ANTONIO, TX 78223-3887
(210) 998-2074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31591
TX
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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