Provider Demographics
NPI:1467862888
Name:HERNANDEZ, ANA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
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 1:20530 PINK GRANITE VLY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4155
Mailing Address - Country:US
Mailing Address - Phone:832-265-2907
Mailing Address - Fax:
Practice Address - Street 1:20530 PINK GRANITE VLY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4155
Practice Address - Country:US
Practice Address - Phone:832-265-2907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator