Organization
JOSEPH P HERMOSA MD PLLC
Active
Parent organization
JOSEPH P HERMOSA MD PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH P HERMOSA MD PLLC
Authorized official
JOSEPH P HERMOSA MEDICAL DOCTOR (OWNER)
(512) 630-1969
Entity
Organization
Contact information
Practice address
7230 WYOMING SPRINGS DR, ROUND ROCK, TX 78681-4319
(512) 360-1969
(512) 240-5026
Mailing address
402A W PALM VALLEY BLVD # 305, ROUND ROCK, TX 78664-4237
(512) 360-1969
(512) 240-5026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L4435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162627701
—
TX
01
—
854488
MEDICARE
TX
Enumeration date
02/06/2009
Last updated
07/05/2020
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