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Individual

BRANDAN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(512) 476-7111
(325) 659-0180
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 659-0180

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4203
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103437303
TX
01
8CA503
BCBS
TX
Enumeration date
03/24/2006
Last updated
10/21/2010
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