Most Relevant Information
Provider Data
| NPI Number: | 1003544958 |
| Provider Name: | LUIS ENRIQUE HERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2022 |
| Last Updated: | 08/09/2022 |
Provider Practice Location
3300 OAK LAWN AVE STE 601
DALLAS
TX
752194439
Practice Location Phone/Fax
| Phone: | 2143100417 |
| Fax: |
Provider Mailing Location
4001 ROSS AVE APT 159
DALLAS
TX
752045256
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |