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Organization

HARRY HERNANDEZ DO PA

Active
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Organization

HARRY HERNANDEZ DO PA

Active
Other names
Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY HERNANDEZ DO (PRESIDENT)
(210) 656-4363
Entity
Organization

Contact information

Practice address
12650 NACOGDOCHES, SAN ANTONIO, TX 78217
(210) 656-4363
(210) 599-1251
Mailing address
12650 NACOGDOCHES, SAN ANTONIO, TX 78217
(210) 656-4363
(210) 599-1251

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C6987
TX
207Q00000X
Family Medicine Physician
Primary
G4130
TX
207Q00000X
Family Medicine Physician
H7845
TX

Other

Enumeration date
06/09/2006
Last updated
08/22/2020
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