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Individual
AMY M HERNANDEZ
Active
Individual
AMY M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q0068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192390601
—
TX
01
—
418733YMG2
MEDICARE
—
01
—
P01594333
RR MEDICARE
—
Enumeration date
05/21/2012
Last updated
07/01/2021
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