Provider Demographics
NPI:1184115347
Name:HERNANDEZ SANCHEZ, ERNAI
Entity type:Individual
Prefix:
First Name:ERNAI
Middle Name:
Last Name:HERNANDEZ SANCHEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 LAKE ST UNIT 17G
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2169
Mailing Address - Country:US
Mailing Address - Phone:832-524-8438
Mailing Address - Fax:
Practice Address - Street 1:5225 KATY FWY STE 245
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2200
Practice Address - Country:US
Practice Address - Phone:832-272-0401
Practice Address - Fax:713-808-9133
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME147744207R00000X
390200000X
TXS9700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program