Individual
MS. VERONICA HERNANDEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L5502
MEDICARE
TX
05
—
284818602
—
TX
05
—
284818605
—
TX
01
—
P02601820
MCRR
TX
Enumeration date
09/02/2009
Last updated
04/14/2021
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