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Individual
TIMOTHY A HERNANDEZ
Active
Individual
TIMOTHY A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038712803
—
TX
01
—
8DL471
BCBSTX
TX
01
—
K0489
LICENSE 8K5160
TX
01
—
P01164916
RAILROAD MEDICARE
—
Enumeration date
09/12/2006
Last updated
01/16/2018
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