Provider Demographics
NPI:1356583629
Name:HERNANDEZ, MARIA ISABEL (NP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3083
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-3083
Mailing Address - Country:US
Mailing Address - Phone:956-682-4500
Mailing Address - Fax:956-682-4505
Practice Address - Street 1:4709 S JACKSON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8381
Practice Address - Country:US
Practice Address - Phone:956-682-4500
Practice Address - Fax:956-682-4505
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNP 713867363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX17405567OtherDRIVERS LIC. NO.