Individual
PEDRO R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E5385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00RJ36
BCBS OF TEXAS
TX
01
—
115014100
FIRSTCARE/SOUTHWEST LIFE
TX
05
—
134882305
—
TX
01
—
4209208
AETNA
TX
05
—
E7319
—
NM
Enumeration date
09/30/2005
Last updated
06/20/2019
Update your record
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