Provider Demographics
NPI:1033535976
Name:HERNANDEZ CORTES, LISETTE (BA)
Entity Type:Individual
Prefix:MRS
First Name:LISETTE
Middle Name:
Last Name:HERNANDEZ CORTES
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 MOUNTAIN MIST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4914
Mailing Address - Country:US
Mailing Address - Phone:210-722-3199
Mailing Address - Fax:
Practice Address - Street 1:45 NE LOOP 410 STE 690
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5831
Practice Address - Country:US
Practice Address - Phone:210-457-2000
Practice Address - Fax:210-457-2004
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX372862355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant