Individual
CARLOS OMAR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4438 CENTERVIEW, SAN ANTONIO, TX 78228
(210) 280-0040
(210) 280-0060
Mailing address
4438 CENTERVIEW, SAN ANTONIO, TX 78228
(210) 280-0040
(210) 280-0060
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
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