Provider Demographics
NPI:1245125111
Name:HERNANDEZ, JOSE FRANCISCO (SA-C)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:FRANCISCO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6544 GREATWOOD PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6808
Mailing Address - Country:US
Mailing Address - Phone:281-905-6265
Mailing Address - Fax:
Practice Address - Street 1:6544 GREATWOOD PKWY STE A
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6808
Practice Address - Country:US
Practice Address - Phone:409-719-6966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25-253246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty