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Individual

SOPHIA HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2274
Mailing address
1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 76063-7834

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V8277
TX

Other

Enumeration date
04/22/2022
Last updated
09/22/2025
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