Provider Demographics
NPI:1457757932
Name:HERNANDEZ, MAXIMO E (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:MAXIMO
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 UVALDE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-1506
Mailing Address - Country:US
Mailing Address - Phone:713-453-2121
Mailing Address - Fax:713-453-2521
Practice Address - Street 1:194 UVALDE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-1506
Practice Address - Country:US
Practice Address - Phone:713-453-2121
Practice Address - Fax:713-453-2521
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily