| Doctor Name: | DR. JUDITH HERNANDEZ |
| NPI Number: | 1124284757 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 11481 Toepperwein Rd Ste 1202 Live Oak, TX - 782333146 |
| Business Phone Number: | 2106558470 |
| Business Fax Number: | 2109670276 |
| Mailing Address: | 16620 N Us Highway 281 Ste 300, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782322679 |
| Phone Number: | 2106141231 |
| Fax Number: | 2106160704 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 09/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |