Basic Information
| Provider Information | |||||||||
| NPI: | 1316405541 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HERNANDEZ | ||||||||
| FirstName: | BYANCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10018 INWOOD SHADOWS ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770882223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8326207540 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3737 DACOMA ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770928905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139707000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2019 | ||||||||
| LastUpdateDate: | 03/06/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 75893 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.