Individual
RAUL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E WASHINGTON ST, BROWNSVILLE, TX 78520-5907
(956) 243-1786
Mailing address
700 E WASHINGTON ST, BROWNSVILLE, TX 78520-5907
(956) 243-1786
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
04128759
TX
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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