Individual
GUILLERMO E HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 MCPHERSON AVE, LAREDO, TX 78045-6268
(956) 523-2619
Mailing address
8511 MCPHERSON ROAD, SUITE 105, PMB 233, LAREDO, TX 78045
(956) 523-2619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
507056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138646816
—
TX
05
—
138646818
—
TX
01
—
84155U
BCBS
TX
01
—
P00184690
MEDICARE RAILROAD
TX
Enumeration date
01/30/2006
Last updated
02/02/2012
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