Mayrena Isamar Hernandez, PHD, MPH, ATC, LAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

AT6669 Issued in TX

Practice address

7201 Lake Jackson Dr
Arlington, TX 76002-4070

Phone

(817) 600-7749

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1497201164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 ROLLING VIEW CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012093",
            "telephone_number": "817-600-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 LAKE JACKSON DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024070",
            "telephone_number": "817-600-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MAYRENA",
        "middle_name": "ISAMAR",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "AT6669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Hernandez
• Gabriella Hernandez
• Gricelda Hernandez
• Lauren Elizabeth Hernandez, PTA
• Luis Roman Hernandez III
• Rebecca Marie Hernandez, MD
• Vanessa Hernandez, RN
• Ivon Herrera, LPC, NCC
• Melissa Herrera, OT
• Selina Herrera

• Specialist in Arlington, TX
• Providers in Arlington, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.