Organization
PEDRO R. HERNANDEZ M.D. P.A.
Active
Parent organization
PEDRO R. HERNANDEZ M.D.P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDRO R. HERNANDEZ M.D.P.A.
Authorized official
DR. PEDRO R. HERNANDEZ M.D. (OWNER)
(806) 355-3364
Entity
Organization
Contact information
Practice address
1901 MEDI PARK DR, SUITE 138, AMARILLO, TX 79106-2110
(806) 355-3364
(806) 355-0108
Mailing address
1901 MEDI PARK DR, SUITE 138, AMARILLO, TX 79106-2110
(806) 355-3364
(806) 355-0108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E5385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134882305
—
TX
Enumeration date
10/01/2007
Last updated
10/04/2010
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