Individual
CARLOS OMAR HERNANDEZ
Active
Individual
CARLOS OMAR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101829303
WELLMED MEDICAID
TX
01
—
8815B1
WELLMED MEDICARE
TX
05
—
P08432K81
—
TX
Enumeration date
07/07/2005
Last updated
10/17/2016
Update your record
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