Provider Demographics
NPI:1134507981
Name:HERNANDEZ, ALURA ALEXIE (LVN)
Entity Type:Individual
Prefix:MISS
First Name:ALURA
Middle Name:ALEXIE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12215 RIVER BEND DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-9624
Mailing Address - Country:US
Mailing Address - Phone:713-408-8499
Mailing Address - Fax:
Practice Address - Street 1:12215 RIVER BEND DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-9624
Practice Address - Country:US
Practice Address - Phone:713-408-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312933164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse