Individual
ROBERT C HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, SUITE 450, SHREVEPORT, LA 71115-2302
(318) 212-3952
(318) 212-3955
Mailing address
8001 YOUREE DR, SUITE 450, SHREVEPORT, LA 71115-2302
(318) 212-3952
(318) 212-3955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015049
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1322326
—
LA
Enumeration date
06/27/2006
Last updated
12/20/2007
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