Individual
KEVIN JUSTIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2101 PEASE ST, HARLINGEN, TX 78550-8307
(956) 389-1100
(956) 389-1800
Mailing address
1702 N ED CAREY DR, HARLINGEN, TX 78550-8202
(956) 423-4589
(956) 423-9574
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
737257
TX
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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