Individual
MR. SAMUEL HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CSFA
Contact information
Practice address
7310 WILDER LN, CORPUS CHRISTI, TX 78414
(361) 537-2422
Mailing address
PO BOX 8145, CORPUS CHRISTI, TX 78468-8145
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00844
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
03/20/2025
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