Provider Demographics
NPI:1437521382
Name:HERNANDEZ, NORMA HILDA
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:HILDA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 HERITAGE FARMS DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6656
Mailing Address - Country:US
Mailing Address - Phone:830-968-1427
Mailing Address - Fax:
Practice Address - Street 1:143 HERITAGE FARMS DR
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6656
Practice Address - Country:US
Practice Address - Phone:830-968-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services