Provider Demographics
NPI:1982373353
Name:BRIANDA HERNANDEZ PLLC
Entity Type:Organization
Organization Name:BRIANDA HERNANDEZ PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-478-5415
Mailing Address - Street 1:1022 LINDEN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3631
Mailing Address - Country:US
Mailing Address - Phone:214-478-5415
Mailing Address - Fax:
Practice Address - Street 1:1913 RANCH ROAD 620 S STE 101
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6266
Practice Address - Country:US
Practice Address - Phone:512-788-9001
Practice Address - Fax:512-788-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental