Individual
MR. MARCOS HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CSFA, LSA
Contact information
Practice address
3202 WINDFALL RD, LAREDO, TX 78045
(956) 326-8683
Mailing address
3202 WINDFALL RD, LAREDO, TX 78045
(956) 326-8683
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
SA00917
TX
2086S0127X
Trauma Surgery Physician
SA00917
TX
246ZX2200X
Orthopedic Assistant
SA00917
TX
Other
Enumeration date
07/03/2024
Last updated
01/17/2025
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