Individual
EDDIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10780 GANADO DR, SOCORRO, TX 79927-1207
(915) 694-7429
Mailing address
10780 GANADO DR, SOCORRO, TX 79927-1207
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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