Organization
GABRIEL A HERNANDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LOPEZ (OFFICE MANAGER)
(505) 521-3388
Entity
Organization
Contact information
Practice address
3885 FOOTHILLS RD STE B, LAS CRUCES, NM 88011-4672
(505) 521-3388
(505) 521-4023
Mailing address
3885 FOOTHILLS RD STE B, LAS CRUCES, NM 88011-4672
(505) 521-3388
(505) 521-4023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2003-0024
NM
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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