Provider Demographics
NPI:1972686053
Name:HERNANDEZ, HUGO R (LBSW)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:R
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5524
Mailing Address - Country:US
Mailing Address - Phone:210-227-0170
Mailing Address - Fax:210-227-0812
Practice Address - Street 1:217 HOWARD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5524
Practice Address - Country:US
Practice Address - Phone:210-227-0170
Practice Address - Fax:210-227-0812
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39903171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator