Individual
HECTOR HERNANDEZ BUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5923 GRANDWOOD DR, SAN ANTONIO, TX 78239-1507
(210) 462-3468
Mailing address
5923 GRANDWOOD DR, SAN ANTONIO, TX 78239-1507
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA0000049870
TX
247200000X
Other Technician
PTTC3289
TX
376K00000X
Nurse's Aide
NA0060034548
TX
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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