Provider Demographics
NPI:1265587687
Name:HERNANDEZ, CLAUDIA (DDS, MSD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 PROFESSIONAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-9149
Mailing Address - Country:US
Mailing Address - Phone:956-647-5007
Mailing Address - Fax:956-447-9449
Practice Address - Street 1:420 PROFESSIONAL DR STE A
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-9149
Practice Address - Country:US
Practice Address - Phone:956-647-5007
Practice Address - Fax:956-854-4499
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229141223P0221X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1803470Medicaid