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Individual

AMBROSIO HERNANDEZ III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1120 E RIDGE RD, MCALLEN, TX 78503-5411
(956) 688-1280
(956) 688-1291
Mailing address
1120 E RIDGE RD, MCALLEN, TX 78503-5411
(956) 688-1280
(956) 688-1291

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
L9980
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172230801
TX
01
172230802
CSHCN
TX
01
8P5610
BC/BS
TX
Enumeration date
05/10/2006
Last updated
02/23/2012
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