Individual
PEDRO R HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. P.A.
Contact information
Practice address
1901 MEDI PARK, SUITE 138, AMARILLO, TX 79106-2110
(806) 355-3364
(806) 355-0108
Mailing address
1901 MEDI PARK, SUITE 138, AMARILLO, TX 79106-2110
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
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