Provider Demographics
NPI:1083061519
Name:VIJAY, HEMA (DNP, AGACNP-BC, APRN)
Entity Type:Individual
Prefix:
First Name:HEMA
Middle Name:
Last Name:VIJAY
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC, APRN
Other - Prefix:
Other - First Name:HEMALATHA
Other - Middle Name:
Other - Last Name:GUNASEKARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9180 PINECROFT DR STE 500
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3883
Mailing Address - Country:US
Mailing Address - Phone:713-897-5900
Mailing Address - Fax:713-897-2545
Practice Address - Street 1:9180 PINECROFT DR STE 500
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3883
Practice Address - Country:US
Practice Address - Phone:713-897-5900
Practice Address - Fax:713-897-2545
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX886551363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153449704OtherTEXAS MDCD GRP TPI
TX0035TDOtherBCBSTX GRP RECORD #