Provider Demographics
NPI:1134329907
Name:HERNANDEZ, TALHIA (PT)
Entity Type:Individual
Prefix:
First Name:TALHIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 N VETERANS BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6644
Mailing Address - Country:US
Mailing Address - Phone:830-758-0366
Mailing Address - Fax:830-758-0365
Practice Address - Street 1:2499 N VETERANS BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6644
Practice Address - Country:US
Practice Address - Phone:830-758-0366
Practice Address - Fax:830-758-0365
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist