Individual
JOSE WILLIAM HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5823 GREENCRAIG DR, HOUSTON, TX 77035-5417
(713) 392-7361
Mailing address
5823 GREENCRAIG DR, HOUSTON, TX 77035-5417
(713) 392-7361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT021246
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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