Individual
DAVID J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 526-4243
Mailing address
6501 FANNIN ST # NB302, HOUSTON, TX 77030-2703
(713) 798-5906
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125059843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R3338
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/22/2011
Last updated
12/19/2017
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