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Individual
DAVID J HERNANDEZ
Active
Individual
DAVID J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125059843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3338
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/22/2011
Last updated
12/19/2017
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