# J.W HERNANDEZ JR. DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043873060
- **Authorized official:** ANNA HERNANDEZ (OFFICE MANAGER)
- **Authorized official phone:** (210) 533-8191

## Contact information

- **Practice address:** 1347 FAIR AVE, SAN ANTONIO, TX 78223-1437
- **Practice address phone:** (210) 533-8191
- **Practice address fax:** (210) 533-5928
- **Mailing address:** 1347 FAIR AVE, SAN ANTONIO, TX 78223-1437
- **Mailing address phone:** (210) 533-8191
- **Mailing address fax:** (210) 533-5928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2019
- **Last updated:** 04/16/2019