Individual
DR. ALFRED JOE HERNANDEZ JR.
Active
Individual
DR. ALFRED JOE HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D5037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031864401
—
TX
01
—
10035414
AMERIVANTAGE
TX
01
—
103900009
PALMETTO GBA RR MEDICARE
TX
01
—
2900312
EVERCARE CHOICE
TX
Enumeration date
11/01/2006
Last updated
10/19/2016
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