Individual
BRANDI MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3611 NORTH ST STE 140, NACOGDOCHES, TX 75965-2478
(936) 585-7700
Mailing address
3611 NORTH ST STE 140, NACOGDOCHES, TX 75965-2478
(936) 585-7700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10814
TX
Other
Enumeration date
09/01/2016
Last updated
10/22/2020
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