Individual
JESUS NOEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
307 N D SALINAS AVE, DONNA, TX 78537-2929
(956) 464-2402
Mailing address
9170 SAUCITO ST, LOS FRESNOS, TX 78566-8880
(956) 435-4141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17773
TX
Other
Enumeration date
06/27/2022
Last updated
04/02/2024
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