Individual provider · NPI-1

Luis Humberto Hernandez

Non-emergency Medical Transport (VAN) · Tyler, TX

NPI number1376280545
StatusActive
Last updated in NPPESMay 18, 2022

Details

NPI
1376280545
Entity type
Individual (NPI-1)
Name
Luis Humberto Hernandez
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2022
Certification date
May 18, 2022
Last updated
May 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

2204 Ridgewood Dr
Tyler, TX 75701-5910

Phone 323-434-1466

Mailing address

2204 Ridgewood Dr
Tyler, TX 75701-5910

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