Individual
JENNIFER SCHULTZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 PENNSYLVANIA AVE, SUITE 600, FORT WORTH, TX 76104-2158
(817) 878-5298
(817) 878-5289
Mailing address
5928 SILVER SAGE LN, GRAND PRAIRIE, TX 75052-8758
(214) 287-9763
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M7261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0017814
INSTITUTIONAL PERMIT
—
Enumeration date
06/06/2007
Last updated
07/06/2012
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