1043567449 NPI number — DR. YVONNE CELESTE HERNANDEZ D.C.

Table of content: DR. YVONNE CELESTE HERNANDEZ D.C. (NPI 1043567449)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043567449 NPI number — DR. YVONNE CELESTE HERNANDEZ D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERNANDEZ
Provider First Name:
YVONNE
Provider Middle Name:
CELESTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HINOJOSA
Provider Other First Name:
YVONNE
Provider Other Middle Name:
CELESTE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043567449
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1833 RICHMOND PARKWAY
Provider Second Line Business Mailing Address:
SUITE 1500
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-725-1553
Provider Business Mailing Address Fax Number:
832-553-2864

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1833 RICHMOND PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 1500
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-204-6698
Provider Business Practice Location Address Fax Number:
832-553-2864
Provider Enumeration Date:
08/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  12068 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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