Individual
DR. ALFRED JOE HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12206 CLEARFORK DR, HOUSTON, TX 77077-2513
(281) 497-8755
(281) 487-8755
Mailing address
12206 CLEARFORK DR, HOUSTON, TX 77077-2513
(281) 497-8755
(281) 497-8755
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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