Individual
SUSIE RENEE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TATTOOIST
Contact information
Practice address
750 WILLIAM D FITCH PKWY STE 530, COLLEGE STATION, TX 77845-7494
(979) 574-3242
Mailing address
750 WILLIAM D FITCH PKWY STE 530, COLLEGE STATION, TX 77845-7494
(979) 704-3083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1005880
TX
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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