Individual
CARLOS A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8112 SPRING VALLEY RD, DALLAS, TX 75240-3829
(214) 884-1706
(214) 884-1711
Mailing address
222 LAS COLINAS BLVD W, SUITE 2000, IRVING, TX 75039-5421
(972) 957-3000
(972) 236-0096
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09073
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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