Individual
JESSICA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4553 N LOOP 1604 W STE 1225, SAN ANTONIO, TX 78249-1365
(210) 251-2372
Mailing address
6203 SUN DIAL ST, LEON VALLEY, TX 78238-1544
(210) 288-9861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10964T
TX
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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