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Individual

DR. EDWARD VICTOR HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2810 N TELSHOR BLVD, LAS CRUCES, NM 88011-8230
(575) 523-2020
(575) 521-1553
Mailing address
2810 N TELSHOR BLVD, LAS CRUCES, NM 88011-8230
(575) 523-2020
(575) 521-1553

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
98290
NM
207W00000X
Ophthalmology Physician
G080256
CA
207W00000X
Ophthalmology Physician
M6187
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
S8436
NM
Enumeration date
07/25/2006
Last updated
11/28/2009
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