Individual
EDGAR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1810 E GRIFFIN PKWY STE A4, MISSION, TX 78572-8518
(956) 580-8072
(956) 583-3050
Mailing address
PO BOX 3238, MISSION, TX 78573-0055
(956) 580-8072
(956) 583-3050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M4149
TX
207Q00000X
Family Medicine Physician
Primary
M4149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184207201
—
TX
01
—
8W7276
BCBS PIN
TX
Enumeration date
09/14/2006
Last updated
07/17/2014
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