Individual
DR. JANICE ELAINE BRUNSTROM-HERNANDEZ
Active
Individual
DR. JANICE ELAINE BRUNSTROM-HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
101182
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
M5074
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069010101
—
MO
05
—
339120301
—
TX
05
—
339120302
—
TX
05
—
339120303
—
TX
Enumeration date
07/14/2006
Last updated
01/16/2024
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