Provider Demographics
NPI:1427942879
Name:HERNANDEZ, ISABEL VAZQUEZ (AG-ACNP)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:VAZQUEZ
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:AG-ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9218 NORTHCHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3572
Mailing Address - Country:US
Mailing Address - Phone:210-459-2360
Mailing Address - Fax:
Practice Address - Street 1:5742 W LOOP 1604 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-3811
Practice Address - Country:US
Practice Address - Phone:210-622-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1202402363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care