Hernandez, Luis

Hernandez, Luis is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hernandez, Luis can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4802 S 109Th East Ave Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1997 Oklahoma

Profile Details

NPI number 1417251372
LBN Legal business name Hernandez, Luis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Jan 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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