Provider Demographics
NPI:1497707798
Name:HERNANDEZ, TRICIA L (DC)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:L
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 CAMPBELL RD
Mailing Address - Street 2:250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4604
Mailing Address - Country:US
Mailing Address - Phone:713-463-3800
Mailing Address - Fax:713-467-3308
Practice Address - Street 1:1446 CAMPBELL RD
Practice Address - Street 2:250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4604
Practice Address - Country:US
Practice Address - Phone:713-463-3800
Practice Address - Fax:713-467-3308
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor