Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD00040400 | WA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD00040400 | WA |
NPI | 1740380377 |
---|---|
Provider Name | Dr. Sandra Luz Hernandez |
First Address | El Paso, TX 79911-3600 |
Second Address | El Paso, TX 79911-3600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 15/03/2021 |