Provider Demographics
NPI:1598269276
Name:HERNANDEZ, VERONICA (RDMS, RMSKS)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RDMS, RMSKS
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDMS RMSKS
Mailing Address - Street 1:8923 EVERHART LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-4373
Mailing Address - Country:US
Mailing Address - Phone:248-719-4485
Mailing Address - Fax:
Practice Address - Street 1:13831 NORTHWEST FWY STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5232
Practice Address - Country:US
Practice Address - Phone:248-719-4485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI418332085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound