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Individual

MARTIN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
11124 WURZBACH RD STE 100, SAN ANTONIO, TX 78230-2440
(210) 615-5242
Mailing address
11124 WURZBACH RD STE 100, SAN ANTONIO, TX 78230-2440
(210) 615-5242

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
146840
TX

Other

Enumeration date
03/21/2018
Last updated
03/21/2018
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