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ISSAC LUIS HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
214 RILEY LN, FREDERICKSBURG, TX 78624-3562
(214) 227-2457
(214) 764-0880
Mailing address
126 CYPRESS CT, SAN MARCOS, TX 78666-3080
(512) 665-8158

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
156359
TX
246ZC0007X
Surgical Assistant
Primary
SA01014
TX

Other

Enumeration date
07/31/2023
Last updated
04/15/2026
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