Individual
MR. JOSE ANGEL HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4443 N JOSEY LN STE 100, CARROLLTON, TX 75010-4677
(972) 394-8900
(972) 394-6266
Mailing address
1424 HEMPHILL ST, FORT WORTH, TX 76104-4703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119769
TX
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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