Individual
MRS. MARICELA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
14027 MEMORIAL DR STE 120, HOUSTON, TX 77079-6826
(832) 863-2057
(281) 558-2756
Mailing address
14027 MEMORIAL DR STE 120, HOUSTON, TX 77079-6826
(832) 863-2057
(281) 558-2756
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00244
TX
Other
Enumeration date
05/16/2008
Last updated
02/10/2015
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