Individual
MR. RAYMOND HERNANDEZ IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.P.
Contact information
Practice address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1414
(210) 614-3078
Mailing address
7718 LOUIS PASTEUR DR, SAN ANTONIO, TX 78229-3402
(210) 614-1414
(210) 614-3078
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
332BC3200X
Customized Equipment (DME)
ATP 5188
VA
Other
Enumeration date
08/22/2011
Last updated
04/14/2023
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