Organization
HERNANDEZ THERAPEUTICS LLC
Active
Organization
HERNANDEZ THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MODESTO HERNANDEZ III PT, DPT (OWNER)
(956) 969-1496
Entity
Organization
Contact information
Practice address
1400 N WESTGATE DR, SUITE 203, WESLACO, TX 78596-4329
(956) 969-1496
(956) 969-1497
Mailing address
1400 N WESTGATE DR, SUITE 203, WESLACO, TX 78596-4329
(956) 969-1496
(956) 969-1497
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
661940000
TX
Other
Enumeration date
12/20/2007
Last updated
08/15/2008
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