Individual
MRS. AMANDA R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3605 NE LOOP 286 STE 200, PARIS, TX 75460-5091
(903) 737-4337
Mailing address
312 MEMORIAL DR, WAKE VILLAGE, TX 75501-0262
(903) 748-9564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
896796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
896796
REGISTERED NURSE
TX
Enumeration date
03/16/2018
Last updated
03/16/2018
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