Provider Demographics
NPI:1104492206
Name:SANTOS HERNANDEZ, LIMBER N/A
Entity type:Individual
Prefix:
First Name:LIMBER
Middle Name:N/A
Last Name:SANTOS HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12102 SPRING GROVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-3108
Mailing Address - Country:US
Mailing Address - Phone:832-760-6778
Mailing Address - Fax:
Practice Address - Street 1:12102 SPRING GROVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-3108
Practice Address - Country:US
Practice Address - Phone:832-760-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38806235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist