Individual
OSCAR RENE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6006 N MESA ST STE 220, EL PASO, TX 79912-4618
(915) 790-8362
Mailing address
PO BOX 920441, EL PASO, TX 79902-0009
(915) 790-8362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT116417
TX
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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