Individual
ELIEZER R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(469) 563-6908
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(469) 563-6908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10085701
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
05/01/2023
Last updated
07/23/2023
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