Organization
MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL HERNANDEZ M.D. (NUEROPHYCHIATRY - GENERAL PRACTICE)
(915) 533-3353
Entity
Organization
Contact information
Practice address
2415 MONTANA AVE, EL PASO, TX 79903-3605
(915) 533-3353
(915) 544-4353
Mailing address
2415 MONTANA AVE, EL PASO, TX 79903-3605
(915) 533-3353
(915) 544-4353
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C5088
TX
Other
Enumeration date
11/15/2005
Last updated
08/01/2007
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