Individual
ROSE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 LOVERA BLVD, SUITE 3, SAN ANTONIO, TX 78212-1151
(210) 455-5574
(210) 455-5741
Mailing address
730 LOVERA BLVD, SUITE 3, SAN ANTONIO, TX 78212-1151
(210) 455-5574
(210) 455-5741
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
321999854
TX
3747P1801X
Personal Care Attendant
—
TX
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341999854
—
TX
Enumeration date
08/01/2016
Last updated
08/01/2016
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