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Organization
MAXIMILIANO HERNANDEZ MD PA
Active
Organization
MAXIMILIANO HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIMILIANO HERNANDEZ M.D. (OWNER)
(956) 702-1013
Entity
Organization
Contact information
Practice address
502 S CAGE BLVD, PHARR, TX 78577
(956) 702-1013
(956) 781-5796
Mailing address
PO BOX 644, PHARR, TX 78577-1612
(956) 702-1013
(956) 781-5796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032WC
BCBS
TX
05
—
212365501
—
TX
01
—
DQ5132
RAILROAD MEDICARE
TX
01
—
TXB100689
MEDICARE
TX
Enumeration date
02/02/2006
Last updated
06/04/2018
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