Individual
DR. MICHAEL ANTHONY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5440 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 78417-9765
(361) 906-0166
(361) 994-7550
Mailing address
5440 OLD BROWNSVILLE RD, CORPUS CHRISTI, TX 78417-9765
(361) 906-0166
(361) 994-7550
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L6426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171789401
—
TX
05
—
171789402
—
TX
05
—
171789403
—
TX
01
—
611556
MEDICARE
TX
Enumeration date
10/21/2005
Last updated
01/27/2021
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