Individual
DR. RAUL G HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2573 HOSPITAL COURT, RIO GRANDE CITY, TX 78582
(956) 487-5561
(956) 487-4680
Mailing address
PO BOX 78, RIO GRANDE CITY, TX 78582-0078
(956) 487-5561
(956) 487-4680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M3256
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
M3256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189278801
—
TX
01
—
8W8200
BCBS
TX
Enumeration date
10/18/2006
Last updated
04/13/2009
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