Christine Hernandez, OTR | |
1004 Starlite Dr, Portland, TX 78374-1929 | |
(361) 603-6116 | |
(361) 371-7553 |
Full Name | Christine Hernandez |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1004 Starlite Dr, Portland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376932970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 113634 (Texas) | Primary |
Provider Name | Blooming Buds Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497527410 PECOS PAC ID: 3678017936 Enrollment ID: O20240627004123 |
Mailing Address | Practice Location Address |
---|---|
Christine Hernandez, OTR 3801 Cimarron Blvd, Corpus Christi, TX 78414-3887 Ph: () - | Christine Hernandez, OTR 1004 Starlite Dr, Portland, TX 78374-1929 Ph: (361) 603-6116 |
Marisol Aldana, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Kellie Lyn Underwood, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Northshore Blvd, Portland, TX 78374 Phone: 361-643-3777 Fax: 361-643-3777 | |
Jimmy Anthony Canales Ii, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 Cedar Dr, Portland, TX 78374 Phone: 361-643-1888 | |
Blooming Buds Therapy, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1004 Starlite Dr, Portland, TX 78374 Phone: 361-603-6116 Fax: 361-371-7553 | |
Ulysses G Cabanog, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Northshore Blvd, Portland, TX 78374 Phone: 361-777-0303 |