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Individual
DR. JOEL HERNANDEZ
Active
Individual
DR. JOEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110496-03
—
TX
01
—
848794
UNITED CONCORDIA TRICARE
TX
01
—
B16840-01
CHIPS PROVIDER NUMBER
TX
01
—
D16840
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/25/2007
Last updated
11/03/2017
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