Provider Demographics
NPI:1932508306
Name:HERNANDEZ, NOELIA MARIA (DC)
Entity Type:Individual
Prefix:MS
First Name:NOELIA
Middle Name:MARIA
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 1:12835 PRESTON RD STE 405
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1294
Mailing Address - Country:US
Mailing Address - Phone:972-392-4476
Mailing Address - Fax:972-392-4478
Practice Address - Street 1:12835 PRESTON RD STE 405
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1294
Practice Address - Country:US
Practice Address - Phone:972-392-4476
Practice Address - Fax:972-392-4478
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor