Type 1 individualNPI 1003580622

JOSE HERNANDEZ

103TS0200X · EDMOND, OK

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
103TS0200X 103TS0200X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s